Most Relevant Information
Provider Data
| NPI Number: | 1003699570 |
| Provider Name: | KELLY ANN CHANEY ED.D |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180015467 |
Most Important Dates
| Enumeration Date: | 08/17/2023 |
| Last Updated: | 08/17/2023 |
Provider Practice Location
6415 S CAMPBELL AVE
CHICAGO
IL
606291306
Practice Location Phone/Fax
| Phone: | 7733104736 |
| Fax: |
Provider Mailing Location
6415 S CAMPBELL AVE
CHICAGO
IL
606291306
Provider Mailing Phone/Fax
| Phone: | 7733104736 |
| Fax: |