Kelly, Carolyn

Kelly, Carolyn is an individual health care provider with primary practice located at 396 Remington Blvd Ste 370 , Bolingbrook IL 60440-4302. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Kelly, Carolyn can be contacted via phone (630) 418-6601.

Contact Information

Primary practice address
396 Remington Blvd Ste 370 Bolingbrook IL 60440-4302
Phone: (630) 418-6601
Fax: (630) 312-2223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016005524 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 135000752 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.005524 Illinois

Profile Details

NPI number 1619264041
LBN Legal business name Kelly, Carolyn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Aug 12th, 2019 - about 5 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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