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Individual

JAMIE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1010 JORIE BLVD STE 200, OAK BROOK, IL 60523-2240
(773) 321-2734
Mailing address
1010 JORIE BLVD STE 200, OAK BROOK, IL 60523-2240

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180009599
IL

Other

Enumeration date
11/27/2015
Last updated
02/06/2024
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