Cunningham, Kelly
Cunningham, Kelly is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Building 105 Room 1870, Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Cunningham, Kelly can be contacted via phone (708) 216-1676.Contact Information
Primary practice address
2160 S 1St Ave Building 105 Room 1870
Maywood IL 60153-3328
Phone: (708) 216-1676
Fax: (708) 216-4834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 125049463 | Illinois |
Profile Details
| NPI number | 1124279450 |
|---|---|
| LBN Legal business name | Cunningham, Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2008 |
| Last updated | Jun 5th, 2012 - about 13 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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