Individual
KELLY CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4240 N KENMORE AVE APT 5S, CHICAGO, IL 60613-1399
(847) 702-3220
Mailing address
4240 N KENMORE AVE APT 5S, CHICAGO, IL 60613-1399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
041.481136
IL
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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