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1770641136
MARK KELLY
WINFIELD, IL
NPI
1770641136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036091461)
Enumeration Date
2006-12-05
Last Update Date
2007-07-09
Business Address
-- MARK KELLY
25 N WINFIELD ROAD
WINFIELD, IL 60190
Phone number: 630-933-4240
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Mailing Address
-- MARK KELLY
89 OLD CREEK RD
PALOS PARK, IL 60464-1414
Phone number:
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