Organization
MARY L. KELLY, D.O., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L. L KELLY D.O. (PRESIDENT)
(708) 848-0080
Entity
Organization
Contact information
Practice address
7319 NORTH AVE, RIVER FOREST, IL 60305-1220
(708) 848-0040
(708) 848-2931
Mailing address
7319 NORTH AVE, RIVER FOREST, IL 60305-1220
(708) 848-0040
(708) 848-2931
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036077560
IL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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