CHAD MICHAEL KELLER (NPI# 1487875209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487875209 |
| Entity Type | Individual |
| Full Name | CHAD MICHAEL KELLER |
| Credential | PA |
| Practice Address |
2650 Ridge Ave. Burch 100, Cardiac Surgery Division Evanston IL 60201 |
| Mailing Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201 |
| Practice Telephone | 8475702859 |
| Practice Fax Number | 8475702899 |
| Mailing Telephone | 8475701206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600983 | Chad John Keller | Psychologist | 7700 Clayton Rd Ste 103, Saint Louis, MO 63117-1345 | 2011-03-16 |
| 1003100082 | Chad Robert Keller | Otolaryngology | 2131 E State St, Athens, OH 45701-2138 | 2011-06-07 |
| 1760613467 | Chad G Keller | Physical Therapist | 1205 York Rd, Suite 19, Lutherville, MD 21093-6210 | 2009-07-30 |
| 1720052640 | Chad J Keller | Registered Nurse | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2006-02-15 |
| Street Address |
2650 RIDGE AVE. BURCH 100, CARDIAC SURGERY DIVISION |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841414 | Sidney P. Regalado | Radiology | 2650 Ridge Ave., Department of Radiology, Evanston, IL 60201-1718 | 2005-09-15 |
| 1417554130 | Stephanie Rene Gerberding | Social Worker | 2650 Ridge Ave., Dept. of Psychiatry, Evanston, IL 60202-1011 | 2020-10-06 |
| 1376196006 | Brenna Selena Leiker | Physician Assistant | 2650 Ridge Ave., Emergency Medicine, Evanston, IL 60201-1718 | 2019-07-22 |
| 1225598022 | Lindsey Weder Zimmerman | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave., Department of Anesthesia, Evanston, IL 60201-1718 | 2019-03-20 |
| 1265996631 | Madeline S. Lubenow | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave., Department of Anesthesia, Evanston, IL 60201-1718 | 2019-01-30 |
| 1295203768 | Gayathri S. Moorthy | Registered Nurse | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718 | 2018-11-02 |
| 1700385077 | Glenna M Daugherty | Nurse Practitioner | 2650 Ridge Ave., Emergency Medicine, Evanston, IL 60201-1718 | 2018-02-01 |
| 1164942066 | Danijela Dokic | Internal Medicine | 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2017-06-21 |
| 1417487612 | Julie Elaine Rzeszutko | Internal Medicine | 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2017-06-20 |
| 1144757154 | Bukurije Alijoski | Nurse Practitioner | 2650 Ridge Ave., Palliative Care, Evanston, IL 60201-1718 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642455 | Rachel Marie Supple | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-07-31 |
| 1346721586 | Megan Rachael Butzke | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201 | 2018-08-26 |
| 1538655865 | Rachel Winkle | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1781 | 2018-07-10 |
| 1982134953 | Katherine Frawley | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2017-06-13 |
| 1396298311 | Stacey Lewis | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-07-26 |
| 1215391792 | Grazyna Urbanczyk | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-04-11 |
| 1922474824 | Alison Glinski | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2015-08-13 |
| 1750767919 | Taebee Chang | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2015-08-10 |
| 1245612548 | Katherine Anne Niekamp | Physician Assistant | 2650 Ridge Ave., Walgreen 2507, Evanston, IL 60201-1718 | 2015-06-23 |
| 1518376680 | Elizabeth Ahlgrimm | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2014-08-03 |
| Find all providers in EVANSTON | ||||
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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.