Search › Illinois › 363LF0000X
Joan Kelley
NPI 1205210143 · on the registry since 2015 · sole proprietor
Practice
- Address
- 309 Rivers Edge Dr
Minooka, IL 60447 - Phone
- (815) 735-1408
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-09
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