Individual
KELLY ELISE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 W HARRISON ST STE 466, CHICAGO, IL 60612-3800
(312) 942-5495
Mailing address
1650 W HARRISON ST STE 466, CHICAGO, IL 60612-3800
(312) 942-5495
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125.075895
IL
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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