Individual
KELLY M MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3759 N RAVENSWOOD AVE, CHICAGO, IL 60613-3571
(773) 505-6554
Mailing address
1456 W SUMMERDALE AVE, CHICAGO, IL 60640-2124
(773) 505-6554
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000922
IL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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