Michael David Kelly in Bloomingdale - Chiropractor
Michael David Kelly - NPI 1124106596
Michael David Kelly is a Chiropractor in Bloomingdale, Illinois. Michael David Kelly practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael David Kelly is 1124106596. The last update date is 2019-12-06.
Michael David Kelly's current location address is 160 S Bloomingdale Rd, Bloomingdale, Illinois. You can contact this provider via phone number 6308937313 and fax number 6308937453. The mailing address for Michael David Kelly is 160 S Bloomingdale Rd, Bloomingdale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Kelly |
|---|---|
| Address | 160 S Bloomingdale Rd, Bloomingdale, Illinois |
| Phone Number | 6308937313 |
| Fax Number | 6308937453 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1124106596 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2019-12-06 |
Provider Mailing Address Detail
| Address | 160 S Bloomingdale Rd |
|---|---|
| City | Bloomingdale |
| State | Illinois (IL) |
| Post Code | 601081455 |
| Phone Number | 6308937313 |
| Fax Number | 6308937453 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38006619 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique provider identifier assigned to Michael David Kelly?
The Michael David Kelly has been issued the NPI (National Provider Identifier) 1124106596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael David Kelly is physically located?
The Michael David Kelly is physically situated at the following address: 160 S Bloomingdale Rd, Bloomingdale, IL, 601081455.
What is the Michael David Kelly's specialty and taxonomy code?
The Michael David Kelly's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date was the 1124106596 assigned to Michael David Kelly?
The Michael David Kelly was issued its 1124106596 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Michael David Kelly's information last updated?
The Michael David Kelly's information was last updated on 2019-12-06.