Flanagan, Kelly Matthew

Flanagan, Kelly Matthew is an individual health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2039. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Flanagan, Kelly Matthew can be contacted via phone (630) 653-2300.

Contact Information

Primary practice address
7 Blanchard Cir Suite 201 Wheaton IL 60189-2039
Phone: (630) 653-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007370 Illinois

Profile Details

NPI number 1295799179
LBN Legal business name Flanagan, Kelly Matthew
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 5th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295799179 NPPES
Illinois Other 02215643 BLUE CROSS

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