Electrolysis by Kelly Inc

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

ELECTROLYSIS BY KELLY INC

Practice address

715 Lake St Ste 600
Oak Park, IL 60301-1415

Phone

(708) 386-4663

NPI assigned

Jun 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly A Morrisy

Title

Owner

Phone

(708) 386-4663

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1023634045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 600",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011415",
            "telephone_number": "708-386-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 600",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011415",
            "telephone_number": "708-386-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROLYSIS BY KELLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-03-21",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "MORRISY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-386-4663"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Other Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.