Individual
DR. KELLY JANE SHERACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MA
Contact information
Practice address
2656 W MONTROSE AVE, SUITE #106, CHICAGO, IL 60618-1559
(773) 415-7147
(773) 409-7157
Mailing address
2656 W MONTROSE AVE, SUITE #106, CHICAGO, IL 60618-1559
(773) 415-7147
(773) 409-7157
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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