Individual
ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, IBCLC
Contact information
Practice address
4925 N LEAVITT ST, CHICAGO, IL 60625-1308
(312) 380-9638
Mailing address
4925 N LEAVITT ST, CHICAGO, IL 60625-1308
(312) 380-9638
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041.389385
IL
Other
Enumeration date
04/24/2007
Last updated
02/21/2016
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