Eric Kelley, M.d.,s.c.

NPI #1811272388 in Broadview, Illinois

Provider Information

NPI Number: 1811272388
Entity Type: Organization
Organization Name: Eric Kelley, M.d.,s.c.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 17, 2011
Last Updated: Oct 17, 2011

Practice Location

Address: 2215 SOUTH 17TH AVENUE
City: Broadview
State: Illinois
ZIP Code: 60155-3908
Phone: (708) 344-7171

Authorized Official

Name: DR. ERIC KELLEY, M.D.
Title: PHYSICIAN
Phone: (708) 344-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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