Individual
GWYNETH M KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1431 N WESTERN AVE STE 134, CHICAGO, IL 60622-1797
(773) 235-1915
Mailing address
1431 N WESTERN AVE STE 134, CHICAGO, IL 60622-1797
(773) 235-1915
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085011293
IL
363AM0700X
Medical Physician Assistant
Primary
PA100680
MA
Other
Enumeration date
05/10/2023
Last updated
08/07/2026
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