Staley, Kelley Kathleen

Staley, Kelley Kathleen is an individual health care provider with primary practice located at 1701 W Superior St , Chicago IL 60622-5646. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Staley, Kelley Kathleen can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
1701 W Superior St Chicago IL 60622-5646
Phone: (312) 666-3494
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036115572 Illinois

Profile Details

NPI number 1184652984
LBN Legal business name Staley, Kelley Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 9th, 2021 - about 4 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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