Individual
KELLY LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
123 W WASHINGTON ST STE 321, OSWEGO, IL 60543-8297
(312) 419-9311
Mailing address
706 COUNTRY SQUIRE CT, MORRIS, IL 60450-4102
(708) 772-0813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012665
IL
Other
Enumeration date
03/05/2015
Last updated
02/17/2026
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