Individual
MS. KELLI O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
(773) 685-8479
Mailing address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
(773) 685-8479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001188
IL
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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