Individual
JOSHUA KELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 3077, CHICAGO, IL 60637-1447
(847) 853-8481
Mailing address
1100 CENTRAL AVE, SUITE F, WILMETTE, IL 60091-2666
(847) 853-8481
(773) 853-8471
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036093125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093125
—
IL
Enumeration date
03/27/2007
Last updated
12/07/2009
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