Individual
KELSIE LYNN AVANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S. WOOD STREET, 1424S, CHICAGO, IL 60612-4325
(312) 413-3803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036144025
IL
208000000X
Pediatrics Physician
Primary
036144025
IL
Other
Enumeration date
03/19/2013
Last updated
11/17/2017
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