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1144522574
JONATHAN RICHARD KELLY
CHICAGO, IL
NPI
1144522574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: IL 036059014)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
Dr. JONATHAN RICHARD KELLY M.D.
600 SOUTH PAULINA STREET
CHICAGO, IL 60612
Phone number: 312-942-2832
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Mailing Address
Dr. JONATHAN RICHARD KELLY M.D.
51 NORTH BRAINARD AVENUE
LAGRANGE, IL 60525-0575
Phone number: 708-482-0090
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