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Individual

KELLY J DAHMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
836 N MEACHAM RD, SCHAUMBURG, IL 60173-4922
(630) 871-6690
(630) 445-1701
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
085006307
IL
363AM0700X
Medical Physician Assistant
Primary
085.006307
IL

Other

Enumeration date
09/24/2017
Last updated
09/22/2023
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