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Individual

AMY B KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2650 RIDGE, NORTHSHORE UNIVERSITY HEALTHSYSTEM, EVANSTON, IL 60201
(847) 570-2148
Mailing address
2650 RIDGE ROOM 2206, EVANSTON HOSPITAL, EVANSTON, IL 60201
(847) 570-2148
(847) 570-2901

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146003080
IL

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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