Provider Demographics
NPI:1598993305
Name:ARTIOLI, KELLY P
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:P
Last Name:ARTIOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 WOODBINE CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2016
Mailing Address - Country:US
Mailing Address - Phone:312-209-4467
Mailing Address - Fax:
Practice Address - Street 1:1528 WOODBINE CT
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-2016
Practice Address - Country:US
Practice Address - Phone:312-209-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter