Individual provider · Type 1 NPI
Michael David Kelly, DC
Chiropractor · Bloomingdale, IL
Practice location
132 S Ridge Ave, Unit B
Bloomingdale, IL 60108-1216
Fax (630) 893-7453
Mailing address
160 S Bloomingdale Rd, Ste D
Bloomingdale, IL 60108-1455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038006619 (IL) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1124106596
Michael David Kelly, DC's National Provider Identifier is 1124106596, issued on Nov 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomingdale, IL. The record was last updated on Dec 6, 2019.