MS. RENEE KELLY MHS CADC MISA NPI 1134546922

NPI Information

  • NPI: 1134546922
  • Provider Name: MS. RENEE KELLY, MHS, CADC, MISA
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Individual
  • Address: 20550 S LAGRANGE RD
    FRANKFORT, IL
    ZIP 60423
  • Phone: (815) 630-8828

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NPI Details

MS. Renee Kelly, MHS, CADC, MISA is a rehabilitation and substance use disorder clinic center in Frankfort, IL. MS. Renee Kelly, MHS, CADC, MISA NPI is 1134546922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20550 S LAGRANGE RD
FRANKFORT, IL
ZIP 60423-397
Phone: (815) 630-8828
Fax: (708) 720-1030

The enumeration date for this NPI number is 3/18/2014 and was last updated on 6/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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