Individual
DENNIS F. KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(815) 477-7351
Mailing address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(815) 477-7351
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-104219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104219
—
IL
01
—
K48748
PTAN
—
Enumeration date
08/30/2006
Last updated
12/21/2021
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