person
Dr. James M Kelly, MD
Specialist in Kankakee, Illinois
NPI 1881679553

James M Kelly is a Specialist based in Kankakee, IL. James M Kelly practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for James M Kelly is 1881679553 and holds a License No. 036065101 (Illinois).

The current practice location address for James M Kelly is 555 W Court St, Kankakee, IL and can be reached out via phone at 815-932-7246 and via fax at 815-932-7307.

Location: 555 W Court St, Kankakee, IL, 60901-3664
person
Provider Profile Details
NPI Number
1881679553
Provider Name
James M Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
555 W Court St, Kankakee, IL, 60901-3664
Phone Number
815-932-7246
Fax Number
815-932-7307
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036065101 05 IL
050026565 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
555 W Court St
City
State
Zip
60901-3664
Phone Number
815-932-7246
Fax Number
815-932-7307
person
Provider Business Mailing Address Details
Address
555 W Court St
City
State
Zip
60901-3664
Phone Number
815-932-7246
Fax Number
815-932-7307
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036065101 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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