Kelly, Patrick Donovan

Kelly, Patrick Donovan is an individual health care provider with primary practice located at 2160 S 1St Ave Loyola University Medical Center, Maywood IL 60153-3328. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kelly, Patrick Donovan can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Loyola University Medical Center Maywood IL 60153-3328
Phone: (708) 216-9000
Fax: (708) 327-3489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 018001831 Illinois

Profile Details

NPI number 1326304528
LBN Legal business name Kelly, Patrick Donovan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Jul 2nd, 2012 - about 12 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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