Individual
DR. MICHAEL JAMES KILKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2233 W DIVISION ST, DEPT OF EMERGENCY MEDICINE, CHICAGO, IL 60622-8151
(612) 644-5230
Mailing address
600 N KINGSBURY ST, APT 1411, CHICAGO, IL 60654-8114
(612) 644-5230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.136153
IL
207P00000X
Emergency Medicine Physician
4301090823
MI
Other
Enumeration date
01/18/2008
Last updated
11/05/2014
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