Kelly, Michael A

Kelly, Michael A is an individual health care provider with primary practice located at 1901 W Harrison St John H. Stroger, Jr. Hospital Of Cook County, Chicago IL 60612-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kelly, Michael A can be contacted via phone (312) 864-7280.

Contact Information

Primary practice address
1901 W Harrison St John H. Stroger, Jr. Hospital Of Cook County Chicago IL 60612-3714
Phone: (312) 864-7280
Fax: (312) 864-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036068618 Illinois

Profile Details

NPI number 1558329086
LBN Legal business name Kelly, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 7th, 2023 - about 3 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 1558329086 NPPES
Illinois MEDICAID 036068618
Illinois Other CS336032647

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