Individual
DR. COLIN FRANCIS KELLIHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1212 BLANCHAN AVE, LA GRANGE PARK, IL 60526-1203
(708) 285-3890
Mailing address
1212 BLANCHAN AVE, LA GRANGE PARK, IL 60526-1203
(708) 285-3890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033416
IL
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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