Individual
DR. KELLY NELSON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC6060, CHICAGO, IL 60637-1447
(773) 834-3352
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036134243
IL
Other
Enumeration date
06/11/2011
Last updated
07/27/2017
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