Individual
DR. ANTHONY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1600 S INDIANA AVE STE 2, CHICAGO, IL 60616-4733
(312) 922-9868
Mailing address
1600 S INDIANA AVE STE 2, CHICAGO, IL 60616-4733
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038013249
IL
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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