Organization
NORTHWEST PULMONARY AND SLEEP MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS FRANKLIN KELLAR MD (OWNER/PHYSICIAN)
(815) 477-7350
Entity
Organization
Contact information
Practice address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(815) 477-7351
Mailing address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(815) 477-7351
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
036-104219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216086
PTAN
—
Enumeration date
12/20/2007
Last updated
09/01/2020
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