Kelly, Dympna M

Kelly, Dympna M is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc5026 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Kelly, Dympna M can be contacted via phone (773) 702-1061.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc5026 Chicago IL 60637-1443
Phone: (773) 702-1061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 036142636 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 35086230 Ohio

Profile Details

NPI number 1558471862
LBN Legal business name Kelly, Dympna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558471862 NPPES
Ohio MEDICAID 2691207

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