THOMAS J KELLY (NPI# 1003967084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003967084 |
| Entity Type | Individual |
| Full Name | THOMAS J KELLY |
| Credential | MD |
| Practice Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Mailing Address |
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447 |
| Practice Telephone | 7738344064 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
| 1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
| 1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
| 1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
| 1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
| 1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
| 1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
| 1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
| Street Address |
180 HARVESTER DR STE 110 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-6686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487346 | Rajlakshmi Krishnamurthy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-07-13 |
| 1679068555 | Sanjiv Kumar Hyoju | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2018-06-24 |
| 1386030245 | Rachel Strykowski | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2015-04-07 |
| 1225464290 | Iazsmin Bauer Ventura | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, Burr Ridge, IL 60527-6686 | 2013-09-22 |
| 1932442456 | Elizabeth Quinn Starker | Anesthesiology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2013-04-03 |
| 1164776639 | Anna Biernacka | Pathology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2012-11-05 |
| 1639467087 | Bryan Alan Campbell | Hospitalist | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-07-19 |
| 1578852497 | Jonathan Lio | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-03-31 |
| 1225330061 | Shirley Stephenson | Nurse Practitioner | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2010-11-30 |
| 1689829285 | Lazaro Nelson Sanchez-pinto | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2008-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831516020 | Arth Kumar Srivastava | Psychiatry & Neurology | 9 Lake Ridge Ct, Burr Ridge, IL 60527-5979 | 2014-03-25 |
| 1538210513 | Helene G Rubeiz | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1356492334 | Jean Paul Spire | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1174674154 | James X Tao | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1740331727 | Ewa Chelmicka Schorr | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1467503441 | Anthony T Reder | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1376694356 | Kourosh Rezania | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1285785261 | Raymond P Roos | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1831240811 | James R Brorson | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| 1568513547 | John S Ebersole | Psychiatry & Neurology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-16 |
| Find all providers in BURR RIDGE | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.