Individual provider · Type 1 NPI

Carolyn Kelly, D.P.M.

Foot & Ankle Surgery Podiatrist · Bolingbrook, IL

NPI number 1619264041 Active

Practice location

396 Remington Blvd Ste 370
Bolingbrook, IL 60440-4302

Call (630) 418-6601 Map

Fax (630) 312-2223

Other practice locations

  • 256 Tudor Court, Bolingbrook, IL 60440-2056 · (630) 294-0810

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist 213ES0131X016005524 (IL)
Podiatrist 213E00000X135000752 (IL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016.005524 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1619264041

Carolyn Kelly, D.P.M.'s National Provider Identifier is 1619264041, issued on Jul 6, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bolingbrook, IL. The record was last updated on Aug 12, 2019.