Thomas J Kelly
Neurologist
180 Harvester Dr Ste 110
Burr Ridge
, Illinois 60527-6686
Thomas J Kelly
Neurologist
180 Harvester Dr Ste 110
Burr Ridge
, Illinois 60527-6686
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Thomas J Kelly
- 5841 S Maryland Ave # Mc1099
- Chicago, IL
- Zip : 60637-1447
- Phone :
Second Address
- Thomas J Kelly
- 180 Harvester Dr Ste 110
- Burr Ridge, IL
- Zip : 60527-6686
- Phone : (773) 834-4064
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | IL |
National Provider Identifier
| NPI | 1003967084 |
|---|---|
| Provider Name | Thomas J Kelly |
| First Address | Chicago, IL 60637-1447 |
| Second Address | Burr Ridge, IL 60527-6686 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.