DR MARY KELLY (NPI# 1164683157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164683157 |
| Entity Type | Organization |
| Organization Name | DR MARY KELLY |
| Practice Address |
7319 North Ave River Forest IL 60305-1220 |
| Practice Telephone | 7088480040 |
| Mailing Telephone | 7088480040 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MARY KELLY (OWNER) |
| Authorized Official Telephone | 7088480040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036077560 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036077560 | 05 |
| Street Address |
7319 NORTH AVE |
| City | RIVER FOREST |
| State | IL |
| Zip Code | 60305-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003923764 | Tae-jun Ahn | Podiatrist | 7319 North Ave, River Forest, IL 60305-1220 | 2006-08-25 |
| 1497903314 | Mary L. Kelly, D.o., S.c. | Clinic/Center | 7319 North Ave, River Forest, IL 60305-1220 | 2008-09-04 |
| 1871690008 | Merit Center for Sleep Health of Oak Park, LLC | Clinic/Center | 7319 North Ave, River Forest, IL 60305 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
| 1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
| 1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
| 1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
| 1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
| 1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
| 1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
| 1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
| Find all providers in zip 60305 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518346253 | Nicole Z Syed | Family Medicine | 7411 Lake St Ste 1120, River Forest, IL 60305-1882 | 2015-05-27 |
| 1558480160 | Joseph Edward White | Family Medicine | 547 Edgewood Pl, River Forest, IL 60305-1607 | 2007-03-28 |
| 1366581175 | Glenn Leroy Bynum | Family Medicine | 902 Monroe Ave, River Forest, IL 60305-1424 | 2007-02-06 |
| 1508189861 | Asad A Bakir Mdsc | Family Medicine | 1112 Lathrop Ave, River Forest, IL 60305-1453 | 2010-03-01 |
| 1386837128 | Locke & Uchitelle PC | Family Medicine | 7411 Lake St, Ste 2210, River Forest, IL 60305-1876 | 2007-08-24 |
| 1710903190 | Robin Ann Uchitelle | Family Medicine | 7411 Lake St, Suite 2210, River Forest, IL 60305-1876 | 2006-07-15 |
| 1972531507 | Melanie R. Jessen | Family Medicine | 7411 Lake St, Suite 1120, River Forest, IL 60305-1876 | 2006-06-30 |
| 1720014673 | Kevin P. Cullinane | Family Medicine | 7411 Lake St, Suite 1120, River Forest, IL 60305-1876 | 2006-06-23 |
| 1013950419 | Katherine Ann Walsh | Family Medicine | 7411 Lake St, Suite 1120, River Forest, IL 60305-1876 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | RIVER FOREST |
| Zip Code | 60305 |
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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.