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Search › Illinois › 122300000X

Michael Kelly, D.M.D

NPI 1265888655 · on the registry since 2016 · sole proprietor

Practice

Address
5425 W Lake St
Chicago, IL 60644
Phone
(773) 378-3347
Organisation at this address
Pcc Community Wellness Center
Pcc Community Wellness Center
Pcc Community Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Additional practice sites

  • 568 S Spring Rd, Elmhurst, IL
  • 6201 Roosevelt Rd, Berwyn, IL

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-24

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