Individual
MRS. KELLY MIKAN BONTEMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
1875 DEMPSTER ST, PARK RIDGE, IL 60068-1186
(847) 723-7705
(847) 723-8675
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1186
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
247.000039
IL
Other
Enumeration date
11/08/2012
Last updated
11/05/2024
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