Most Relevant Information
Provider Data
| NPI Number: | 1003597675 |
| Provider Name: | KELLY BORIS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2023 |
| Last Updated: | 07/27/2023 |
Provider Practice Location
719 N MARION ST
OAK PARK
IL
603021530
Practice Location Phone/Fax
| Phone: | 3124010975 |
| Fax: |
Provider Mailing Location
1318 N CLEAVER ST APT 2F
CHICAGO
IL
606422460
Provider Mailing Phone/Fax
| Phone: | 6303033584 |
| Fax: |