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NPI Code Detail

MEDICARE: KELSEY DOCKRY

MEDICARE: KELSEY DOCKRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149031808IL
2104100000XSocial Worker150.118180IL

General Provider Information

NPI Number : 1811857006
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY DOCKRY
Provider Business Mailing Address
First Line : 25 E WASHINGTON ST STE 1835
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1836
Country : US
Telephone Number : 312-940-3655
Fax Number :
Provider Business Practice Location Address
First Line : 25 E WASHINGTON ST STE 1835
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1836
Country : US
Telephone Number : 312-940-3655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 05/13/2026

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Directions to “ KELSEY DOCKRY ” Practice Location

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