Kelly, Iman

Kelly, Iman is an individual health care provider with primary practice located at 18220 Harwood Ave Ste 3 , Homewood IL 60430-2151. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kelly, Iman can be contacted via phone (464) 216-7116.

Contact Information

Primary practice address
18220 Harwood Ave Ste 3 Homewood IL 60430-2151
Phone: (464) 216-7116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1205689007
LBN Legal business name Kelly, Iman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2024
Last updated Apr 10th, 2024 - about last year

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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