Individual
KELLY MARONEY VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3021 FALLING WATERS BLVD, SUITE A, LINDENHURST, IL 60046-6793
(847) 356-9300
(847) 356-7260
Mailing address
3021 FALLING WATERS BLVD, SUITE A, LINDENHURST, IL 60046-6793
(847) 436-0837
(847) 436-0837
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/18/2012
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