Healthcare Provider Details

I. General information

NPI: 1568381044
Provider Name (Legal Business Name): KELLY M DOWNS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 CASS AVE # 200
DARIEN IL
60561-5073
US

IV. Provider business mailing address

9958 S HILL TER APT 305
PALOS HILLS IL
60465-1257
US

V. Phone/Fax

Practice location:
  • Phone: 630-884-8643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150113685
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: