Individual
MEGHAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
601 LAUREL AVE, WILMETTE, IL 60091-2813
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041.497433
IL
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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