MRS. ELIZABETH PHILLIPS KELLEY (NPI# 1386786184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386786184 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH PHILLIPS KELLEY |
| Credential | PA-C |
| Practice Address |
1515 W Lake Street Suite 203 Hanover Park IL 60133 |
| Mailing Address |
225 N Lombard Ave Oak Park IL 60302-2503 |
| Practice Telephone | 6308305926 |
| Mailing Telephone | 7086609239 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891165635 | Elizabeth Kelley | Counselor | Po Box 365, Oneida, WI 54155-0365 | 2015-10-06 |
| 1457768186 | Elizabeth Anne Kelley | Specialist/Technologist | 3913 Doeskin Dr, Apex, NC 27539-8652 | 2014-07-15 |
| 1194914499 | Elizabeth Kathleen Kelley | Licensed Practical Nurse | W4764 Hidden Pine Ln, Shawano, WI 54166-1650 | 2007-10-23 |
| 1306941356 | Elizabeth Kelley | Pharmacist | 5875 Bremo Rd Ste 209, Richmond, VA 23226-1934 | 2006-09-14 |
| 1699309724 | Elizabeth Kelley | Physician Assistant | 1574 Medical Center Pkwy Ste 104, Murfreesboro, TN 37129-3761 | 2020-02-27 |
| 1124670617 | Elizabeth Kelley | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-07-15 |
| 1750879953 | Elizabeth Kelley | Counselor | 1080 N 7th St, San Jose, CA 95112-4425 | 2018-04-24 |
| 1770009193 | Elizabeth Kelley | Student in an Organized Health Care Education/Training Program | 489 Bernardston Rd, Greenfield, MA 01301-1238 | 2017-08-17 |
| 1700261591 | Elizabeth Anne Smith Kelley | Nurse Practitioner | 2214 Gateway Dr, #c, Opelika, AL 36801-1500 | 2015-07-22 |
| 1811305394 | Elizabeth Kelley | Counselor | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2014-07-28 |
| Street Address |
1515 W LAKE STREET SUITE 203 |
| City | HANOVER PARK |
| State | IL |
| Zip Code | 60133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302922 | Mangal Dhami | Pharmacist | 1877 Grosse Pointe Circle, Hanove Park, IL 60133 | 2015-12-07 |
| 1649588260 | Church Street Station Skilled Nursing and Living Center, LLC | Skilled Nursing Facility | 2000 W. Lake St., Hanover Park, IL 60133 | 2010-09-16 |
| 1578603395 | Shyam V N Rao | Dentist | 1601 Tanglewood Avenue, Hanover Park, IL 60133 | 2007-02-08 |
| 1851458939 | Robert Jan Bazan | Dentist | 2260 W Irving Pk Rd, Hanover Pk, IL 60133 | 2007-01-02 |
| 1225120462 | Hanover Park Physical Medicine & Rehabilitation Ltd | Chiropractor | 1802 Irving Park Road, Hanover Park, IL 60133 | 2006-09-28 |
| 1447350830 | Ismail E Atcha | Internal Medicine | 5420 Cloverdale Road, Hanover Park, ILLINOIS 60133 | 2006-09-25 |
| 1013013374 | Antonio B Cruz | General Practice | 1601 Tanglewood, Suite 106, Hanover Park, IL 60133 | 2006-09-15 |
| 1326143223 | Matthew J Faith | Dentist | 1645 Irving Park Road, Hanover Park, IL 60133 | 2006-09-14 |
| 1992818827 | Ketan Narandas Jobanputra | Obstetrics & Gynecology | 1515 West Lake Street, #208, Alexian Brothers' Hospital Pavilion, Hanover Park, IL 60133 | 2006-08-16 |
| 1467478552 | Bradley Hiroshi Hayashi | Chiropractor | 1802 Irving Park Rd, Hanover Park, IL 60133 | 2006-07-14 |
| Find all providers in zip 60133 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671140 | Jeffrey Steplowski | Physician Assistant | 4553 Whitney Dr, Hanover Park, IL 60133-5925 | 2020-02-20 |
| 1598009417 | Reumah E Ravoori | Physician Assistant | 6620 Barrington Rd, Hanover Park, IL 60133-3935 | 2012-11-15 |
| 1720597891 | Katelyn Mirabito | Physician Assistant | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | HANOVER PARK |
| Zip Code | 60133 |
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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.