Chan, Kelley

Chan, Kelley is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Chan, Kelley can be contacted via phone (888) 584-7888.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (888) 584-7888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.077527 Illinois

Profile Details

NPI number 1801474911
LBN Legal business name Chan, Kelley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2021
Last updated May 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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