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Mary L. Kelly, D.o., S.c.
Medical Specialty Clinic/Center in River Forest, Illinois
NPI 1497903314

Mary L. Kelly, D.o., S.c. is a Medical Specialty Clinic/Center based in River Forest, IL and is specialized in Medical Specialty. Mary L. Kelly, D.o., S.c. practices in River Forest, IL. The NPI Number for Mary L. Kelly, D.o., S.c. is 1497903314 and holds a License No. 036077560 (Illinois).

The current practice location address for Mary L. Kelly, D.o., S.c. is 7319 North Ave, River Forest, IL and can be reached out via phone at 708-848-0040 and via fax at 708-848-2931.

Location: 7319 North Ave, River Forest, IL, 60305-1220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497903314
Provider Name
Mary L. Kelly, D.o., S.c.
Credential
Provider Entity Type
Organization
Address
7319 North Ave, River Forest, IL, 60305-1220
Phone Number
708-848-0040
Fax Number
708-848-2931
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7319 North Ave
City
River Forest
State
Illinois
Zip
60305-1220
Phone Number
708-848-0040
Fax Number
708-848-2931
person
Provider Business Mailing Address Details
Address
7319 North Ave
City
River Forest
State
Illinois
Zip
60305-1220
Phone Number
708-848-0040
Fax Number
708-848-2931
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036077560 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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