Individual
MISS MARCELLINE KEBU KEMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
835 S WOLCOTT AVE, CHICAGO, IL 60612-3748
(312) 996-9858
Mailing address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125.084763
IL
208D00000X
General Practice Physician
0000000027
TN
Other
Enumeration date
03/26/2020
Last updated
09/25/2024
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