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Search › Illinois › 1041C0700X

Mary Kelly, LCSW

NPI 1992215826 · on the registry since 2017 · sole proprietor

Practice

Address
1901 W Harrison St
Chicago, IL 60612
Phone
(312) 864-2327
Fax
(312) 864-9380
Organisation at this address
Cook County
Cook County
Cook County
Cook County
Cook County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
876

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-05

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