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Kellie Petty
NPI 1619121191 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3440 S Cottage Grove Ave
1203
Chicago, IL 60616 - Phone
- (773) 535-3471
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2008-11-10
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