Mansouri, Kelly Jean

Mansouri, Kelly Jean is an individual health care provider with primary practice located at 3703 W Lake Ave Suite 200, Glenview IL 60026-5823. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mansouri, Kelly Jean can be contacted via phone (847) 998-1188.

Contact Information

Primary practice address
3703 W Lake Ave Suite 200 Glenview IL 60026-5823
Phone: (847) 998-1188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057.000587 Illinois

Profile Details

NPI number 1477728194
LBN Legal business name Mansouri, Kelly Jean
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Sep 6th, 2023 - 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.

Request for update

Popular Providers