Individual
KELLY A COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1611 W HARRISON ST STE 300, CHICAGO, IL 60612-4861
(312) 432-2300
Mailing address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020461
NY
225X00000X
Occupational Therapist
Primary
056012369
IL
Other
Enumeration date
11/15/2016
Last updated
08/18/2022
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