Individual
BRENDAN WILLIAM KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP -C
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-6093
Mailing address
20015 NEWTON WAY, MOKENA, IL 60448-7785
(708) 478-0594
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209010534
IL
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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