Kelly, Jonathan Richard

Kelly, Jonathan Richard is an sole proprietor health care provider with primary practice located at 600 South Paulina Street , Chicago IL 60612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Kelly, Jonathan Richard can be contacted via phone (312) 942-2832.

Contact Information

Primary practice address
600 South Paulina Street Chicago IL 60612
Phone: (312) 942-2832
Fax: (708) 579-3954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 036059014 Illinois

Profile Details

NPI number 1144522574
LBN Legal business name Kelly, Jonathan Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2010
Last updated Nov 17th, 2010 - about 16 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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