Individual
DR. KELSEY MANN GRADWOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1611
Mailing address
5841 S. MARYLAND AVE M/C 5067, CHICAGO, IL 60637-1443
(773) 702-1611
(773) 834-7071
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125-079923
IL
Other
Enumeration date
04/13/2021
Last updated
06/28/2023
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