Individual
KALEY JANE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9600 GROSS POINT RD # 4517, SKOKIE, IL 60076-1214
(847) 677-9600
Mailing address
9600 GROSS POINT RD # 4517, SKOKIE, IL 60076-1214
(847) 677-9600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
085010575
IL
Other
Enumeration date
07/17/2024
Last updated
09/05/2024
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