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1164143723
DANIEL M KELLY
CHICAGO, IL
NPI
1164143723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.026797)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
DANIEL M KELLY DPT
1214 W LOYOLA AVE
CHICAGO, IL 60626-5102
Phone number: 773-274-1769
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Mailing Address
DANIEL M KELLY DPT
1214 W LOYOLA AVE
CHICAGO, IL 60626-5102
Phone number: 773-274-1769
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