Search › Illinois › 122300000X
Colin Kelliher, DMD
NPI 1578233938 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1212 Blanchan Ave
La Grange Park, IL 60526 - Phone
- (708) 285-3890
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
- 2021-09-16
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