Ruby, Kelly

Ruby, Kelly is an individual health care provider with primary practice located at 137 Cedar Avenue , Lake Villa IL 60046. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ruby, Kelly can be contacted via phone (847) 265-7300.

Contact Information

Primary practice address
137 Cedar Avenue Lake Villa IL 60046
Fax: (847) 265-7301
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1174531412
LBN Legal business name Ruby, Kelly
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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