MICHAEL C KELLY

CHICAGO, IL
NPI1265888655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  19030568)
Enumeration Date2016-05-04
Last Update Date2019-12-24
Business Address
MICHAEL C KELLY D.M.D
5425 W LAKE ST
CHICAGO, IL 60644-2342
Phone number: 773-378-3347
Mailing Address
MICHAEL C KELLY D.M.D
568 S SPRING RD STE A
ELMHURST, IL 60126-3868
Phone number: