Search › Illinois › 235Z00000X
Kelly Malcolm
NPI 1770944043 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1822 N Cleveland Ave
Apt. 1r
Chicago, IL 60614 - Phone
- (630) 699-1607
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-15
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