| Kelly Mullen Desierto, LAC | |
|
5330 W Devon Ave, Suite 5, Chicago, IL 60646-4148 | |
| (773) 682-7124 | |
| Not Available |
| Full Name | Kelly Mullen Desierto |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 5330 W Devon Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780069831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 198.001110 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Mullen Desierto, LAC 5330 W Devon Ave, Suite 5, Chicago, IL 60646-4148 Ph: (773) 682-7124 | Kelly Mullen Desierto, LAC 5330 W Devon Ave, Suite 5, Chicago, IL 60646-4148 Ph: (773) 682-7124 |
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