Ciolek, Kelli A

Ciolek, Kelli A is an sole proprietor health care provider with primary practice located at 3002 Grand Ave , Waukegan IL 60085-2321. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ciolek, Kelli A can be contacted via phone (847) 377-8200.

Contact Information

Primary practice address
3002 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1275007569
LBN Legal business name Ciolek, Kelli A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2019
Last updated Jan 20th, 2019 - about 7 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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