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General NPI Number Information
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NPI Number | 1558172866
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Entity Type | Organization
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Legal Business Name | DR. KELLY SANTOYO, PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1225 LONGFORD CIR
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City | ELGIN
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State | IL
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Zip | 60120-4829
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Country | US
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Telephone | 224-236-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 LONGFORD CIR
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City | ELGIN
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State | IL
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Zip | 60120-4829
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Country | US
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Telephone | 224-236-2336
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELLY SANTOYO
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Credential | PSYD
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Telephone | 224-236-2336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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