SearchIllinoisClinical Psychologist

Kelley Phan

NPI 1114433463 · on the registry since 2017 · sole proprietor

Practice

Address
259 E Erie St Ste 1600
Chicago, IL 60611
Phone
(312) 695-6868
Fax
(312) 695-2729
Organisation at this address
Walgreen Co
Perry L. Kamel, M.D., S.C.
David J. Palmer, M.D., S.C.
Northwestern Medical Faculty Foundation
Northwestern Medical Faculty Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
475

Additional practice sites

  • 1650 Moon Lake Blvd, Hoffman Estates, IL

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Also registered as
Clinical Psychologist
Licence states on file
CA, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois