Kelley, Daniel

Kelley, Daniel is an individual health care provider with primary practice located at 680 N Lake Shore Dr Ste 924 , Chicago IL 60611-8701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kelley, Daniel can be contacted via phone (847) 866-7846.

Contact Information

Primary practice address
680 N Lake Shore Dr Ste 924 Chicago IL 60611-8701
Phone: (847) 866-7846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ML60770434 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X ML60770434 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036152896 Illinois

Profile Details

NPI number 1912437187
LBN Legal business name Kelley, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Jun 28th, 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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