Kelley, Brian Lee

Kelley, Brian Lee is an individual health care provider with primary practice located at 3317 W 95Th St , Evergreen Park IL 60805-2243. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kelley, Brian Lee can be contacted via phone (708) 529-3011.

Contact Information

Primary practice address
3317 W 95Th St Evergreen Park IL 60805-2243
Phone: (708) 529-3011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180007807 Illinois

Profile Details

NPI number 1003191990
LBN Legal business name Kelley, Brian Lee
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Jan 24th, 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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