KAYLA ANN COUNCELL

CHICAGO, IL
NPI1710507926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  125.075710)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-17
Last Update Date2024-06-20
Business Address
KAYLA ANN COUNCELL
5841 S MARYLAND AVE # 6040
CHICAGO, IL 60637-1443
Phone number: 773-702-2500
Mailing Address
KAYLA ANN COUNCELL
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150