Guglielmi, Kelly E

Guglielmi, Kelly E is an individual health care provider with primary practice located at 9125 S Pulaski Rd , Evergreen Park IL 60805-1441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Guglielmi, Kelly E can be contacted via phone (708) 422-7715.

Contact Information

Primary practice address
9125 S Pulaski Rd Evergreen Park IL 60805-1441
Phone: (708) 422-7715
Fax: (708) 422-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036094134 Illinois

Profile Details

NPI number 1174556781
LBN Legal business name Guglielmi, Kelly E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 14th, 2017 - about 7 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 1174556781 NPPES
Illinois MEDICAID 036094134

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