Individual
DR. MICHAEL A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY, CHICAGO, IL 60612-3714
(312) 864-7280
(312) 864-9787
Mailing address
1725 W HARRISON, RU ME #1106 UNIVERSITY NEUROLOGISTS, CHICAGO, IL 60612-3824
(312) 942-4500
(312) 942-2380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036068618
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068618
—
IL
01
—
CS336032647
IL DEPT OF FE PROF REG
IL
Enumeration date
05/03/2006
Last updated
03/07/2023
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