Individual
SOPHIA MARIA KECALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W NORTH AVE, ELMHURST, IL 60126-2135
(630) 279-3222
(630) 279-3230
Mailing address
16561 135TH ST, LEMONT, IL 60439-4717
(630) 624-5427
(630) 279-3230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36-060984
IL
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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