Individual
KELLY ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2130 W JEFFERSON ST, JOLIET, IL 60435-6622
(815) 725-1102
(815) 725-7500
Mailing address
2130 W JEFFERSON ST, JOLIET, IL 60435-6622
(815) 725-1102
(815) 725-7500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-286256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361924025130
—
IL
Enumeration date
08/28/2011
Last updated
04/03/2024
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