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Search › Illinois › 235Z00000X

Kellie Ivie

NPI 1942814769 · on the registry since 2020

Practice

Address
5601 Brookmere St
Edwards, IL 61528
Phone
(309) 363-7594
Fax
(309) 966-3621
Organisation at this address
Way To Grow Pediatric Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-10

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