KELLIE AUDRA BANFIELD

EVANSTON, IL
NPI1093059743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2012-11-19
Last Update Date2016-04-12
Business Address
-- KELLIE AUDRA BANFIELD DPT
805 DAVIS ST
EVANSTON, IL 60201-4401
Phone number: 847-864-1535
Mailing Address
-- KELLIE AUDRA BANFIELD DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222