Kelly M Ingram
NPI #1649894130 in Beach Park, Illinois
Provider Information
- NPI Number
- 1649894130
- Entity Type
- Individual
- Name
- Kelly M Ingram
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Jun 1, 2020
- Last Updated
- Jun 1, 2020
Practice Location
- Address
- 38229 N NORTH AVE
- City
- Beach Park
- State
- Illinois
- ZIP Code
- 60087-1662
- Phone
- (847) 650-2823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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