Brody, Kelly Marie
Brody, Kelly Marie is an individual health care provider with primary practice located at 3545 Lake Ave Ste 200 , Wilmette IL 60091-1058. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brody, Kelly Marie can be contacted via phone (847) 386-6560.Contact Information
Primary practice address
3545 Lake Ave Ste 200
Wilmette IL 60091-1058
Phone: (847) 386-6560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146016894 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 10373 | Minnesota |
Profile Details
| NPI number | 1023668522 |
|---|---|
| LBN Legal business name | Brody, Kelly Marie |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2019 |
| Last updated | Dec 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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