Individual
ELAINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6850 HOHMAN AVE, HAMMOND, IN 46324-1410
(219) 931-7509
Mailing address
1650 W HARRISON ST, CHICAGO, IL 60612-3800
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0191235A
IN
207W00000X
Ophthalmology Physician
125074492
IL
Other
Enumeration date
06/18/2019
Last updated
03/06/2025
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