Individual
KELSEY M MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 S STEWART AVE, UNIT 3A, LOMBARD, IL 60148-5510
(614) 804-3654
Mailing address
2211 S STEWART AVE, UNIT 3A, LOMBARD, IL 60148-5510
(614) 804-3654
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
M24251387752
IL
Other
Enumeration date
02/18/2012
Last updated
02/18/2012
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