Search › Illinois › 1041C0700X
Mary Kelly, LCSW
NPI 1891210290 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2500 W Bradley Pl
Chicago, IL 60618 - Phone
- (773) 739-5478
- Organisation at this address
- Fun Moves
Fit Institute Pc
Care To Grow Llc
Renee Luburic Md
The Fit InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 86
Additional practice sites
- 1127 N Oakley Blvd, Chicago, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-23
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