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Individual

MRS. VICTORIA JEAN KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
900 SKOKIE BLVD STE 218, NORTHBROOK, IL 60062-4043
(847) 964-2003
(847) 964-2005
Mailing address
1141 LAKE COOK RD STE C, DEERFIELD, IL 60015-5235
(847) 964-2003
(847) 964-2005

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-001319
IL

Other

Enumeration date
04/28/2009
Last updated
06/27/2025
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