Individual
KELLY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1100 W DUNDEE RD, BUFFALO GROVE, IL 60089-4054
(847) 718-4167
Mailing address
1100 W DUNDEE RD, BUFFALO GROVE, IL 60089-4054
(847) 718-4167
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
096.003114
IL
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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