| Kelly Lally, DC | |
|
123 W Washington St Ste 321, Oswego, IL 60543-8297 | |
| (312) 419-9311 | |
| Not Available |
| Full Name | Kelly Lally |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 123 W Washington St Ste 321, Oswego, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992198659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038012665 (Illinois) | Primary |
| Provider Name | Evolve Chiropractic Schaumburg Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649817982 PECOS PAC ID: 3274948757 Enrollment ID: O20210215001149 |
| Provider Name | Palatine Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780285940 PECOS PAC ID: 7113384496 Enrollment ID: O20230531003094 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lally, DC 706 Country Squire Ct, Morris, IL 60450-4102 Ph: (708) 772-0813 | Kelly Lally, DC 123 W Washington St Ste 321, Oswego, IL 60543-8297 Ph: (312) 419-9311 |
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