Individual
DR. PATRICIA ANN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2606 GRANT ST, EVANSTON, IL 60201-2112
(847) 475-7041
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4665
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
36-088048
IL
2083X0100X
Occupational Medicine Physician
Primary
036-088048
IL
Other
Enumeration date
07/13/2006
Last updated
08/10/2020
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