Kelley, Anisa

Kelley, Anisa is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Kelley, Anisa can be contacted via phone (312) 227-3550.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611
Phone: (312) 227-3550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 036.149631 Illinois

Profile Details

NPI number 1740607688
LBN Legal business name Kelley, Anisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Apr 21st, 2022 - about 2 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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