Kellman, Joshua

Kellman, Joshua is an individual health care provider with primary practice located at 5841 S Maryland Ave Mc 3077, Chicago IL 60637-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Kellman, Joshua can be contacted via phone (847) 853-8481.

Contact Information

Primary practice address
5841 S Maryland Ave Mc 3077 Chicago IL 60637-1447
Phone: (847) 853-8481
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036093125 Illinois

Profile Details

NPI number 1811016504
LBN Legal business name Kellman, Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Dec 7th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811016504 NPPES
Illinois MEDICAID 036093125

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