Organization
KELLY K. SCHILDER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY S RAY PH.D. (PRESIDENT/CLINICAL PSYCHOLOGIST)
(773) 505-2755
Entity
Organization
Contact information
Practice address
600 DAVIS ST, SUITE 3E, EVANSTON, IL 60201-4488
(773) 505-2755
Mailing address
600 DAVIS ST, SUITE 3E, EVANSTON, IL 60201-4488
(773) 505-2755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-006704
IL
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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