KELLI WEBB


Address: 1400 Financial Park Drive, Carbondale, IL 62901-0000
Phone: 6183519140

KELLI WEBB (NPI# 1518129600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518129600
Entity Type Individual
Full Name KELLI WEBB
Credential MD
Practice Address 1400 Financial Park Drive
Carbondale
IL 62901-0000
Mailing Address Po Box 1105
Indianapolis
IN 46206-1105
Practice Telephone 6183519140
Practice Fax Number 6183519143
Mailing Telephone 6185495361
Mailing Fax Number 6185290568
Enumeration Date 2008-06-30
Last Update Date 2015-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
036135185 IL Allopathic & Osteopathic Physicians

Other Providers KELLI WEBB

NPI Name Taxonomy Address Enumeration
1700414885 Kelli Jo Webb Dietitian, Registered 911 W 38th St Ste 201, Austin, TX 78705-1107 2020-04-01
1346878311 Kelli Webb Behavior Technician 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 2020-03-27

Office Location

Street Address 1400 FINANCIAL PARK DRIVE
City CARBONDALE
State IL
Zip Code 62901-0000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497910905 Carlos Mario Rivera Serrano Surgery 1400 Financial Park, Carbondale, IL 62902-7537 2008-07-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1578068524 Jw Operatory Surgery 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 2018-03-29
1780198796 Lin Plastic and Reconstructive Surgery Inc Surgery 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 2017-11-29
1750892923 Alban Ingram Miller Jr. Surgery 1708 Foxborough Ct, Champaign, IL 61822-8503 2017-10-16
1972905545 Jennifer Hein Surgery 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 2014-09-25
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1043559842 Msa Alliance, LLC Surgery 1 Broadway Plz, Sparta, IL 62286-1800 2013-02-14
1518223791 Hansel M Debartolo Jr Md Sc Surgery 11 Debartolo Dr., Sugar Grove, IL 60554 2012-04-02
1952692717 Georgios Kokosis Surgery 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 2011-04-28
1740596808 Swedishamerican Hospital Surgery 6533 Lexus Dr, Rockford, IL 61108 2010-08-27
Find all providers with the same taxonomy

Competitor

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City CARBONDALE
Zip Code 62901

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Dataset Information

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.

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