Individual
KATHLEEN M. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1747 W ROOSEVELT RD, MC 747, CHICAGO, IL 60608-1264
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-061604
IL
Other
Enumeration date
11/01/2006
Last updated
05/12/2009
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