Gradwohl, Kelsey Mann

Gradwohl, Kelsey Mann is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gradwohl, Kelsey Mann can be contacted via phone (773) 702-1611.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (773) 702-1611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 125-079923 Illinois

Profile Details

NPI number 1568042521
LBN Legal business name Gradwohl, Kelsey Mann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2021
Last updated Jun 28th, 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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