Henry, Kelly Michelle
Henry, Kelly Michelle is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Henry, Kelly Michelle can be contacted via phone (708) 216-5368.Contact Information
Primary practice address
2160 S 1St Ave
Maywood IL 60153-3328
Phone: (708) 216-5368
Fax: (708) 216-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125-056308 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125-056308 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036130463 | Illinois |
Profile Details
| NPI number | 1245460641 |
|---|---|
| LBN Legal business name | Henry, Kelly Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2009 |
| Last updated | Mar 31st, 2017 - about 9 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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