Individual
EILEEN A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 534-3278
(847) 535-8590
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 534-3278
(847) 535-8590
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036109019
IL
Other
Enumeration date
09/27/2006
Last updated
08/19/2022
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