Individual
MS. KELLIE MARIE PRATL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11004 MAYFIELD AVE, CHICAGO RIDGE, IL 60415-2243
(708) 743-7852
Mailing address
11004 MAYFIELD AVE, CHICAGO RIDGE, IL 60415-2243
(708) 743-7852
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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