CAROLYN KELLY


Address: 396 Remington Blvd Ste 370, Bolingbrook, IL 60440-4302
Phone: 6304186601

CAROLYN KELLY (NPI# 1619264041) 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) 1619264041
Entity Type Individual
Full Name CAROLYN KELLY
Credential D.P.M.
Practice Address 396 Remington Blvd Ste 370
Bolingbrook
IL 60440-4302
Practice Telephone 6304186601
Practice Fax Number 6303122223
Mailing Telephone 6304186601
Mailing Fax Number 6303122223
Enumeration Date 2011-07-06
Last Update Date 2019-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist 135000752 IL Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
016.005524 IL Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
016005524 IL Podiatric Medicine & Surgery Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
256 Tudor Court, Bolingbrook, IL 604402056 6302940810

Other Providers CAROLYN KELLY

NPI Name Taxonomy Address Enumeration
1407197072 Carolyn Ann Kelly Nurse Practitioner 11 Osborne St, Danbury, CT 06810-5918 2013-03-07
1639283286 Carolyn Downey Kelly Nurse Practitioner 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 2006-08-19
1649739350 Carolyn Kelly Counselor 3445 S Sheridan Rd, Tulsa, OK 74145-1105 2019-03-13
1316399421 Carolyn Kelly Social Worker 676 N Saint Clair St, Suite 2140, Chicago, IL 60611-2927 2016-07-13
1639503345 Carolyn V Kelly Physical Therapist 4700 Gilbert Ave, Suite 51, Western Springs, IL 60558-1753 2013-08-29
1376981209 Carolyn Marion Kelly Registered Nurse 1711 Holmes Dr Sw, Conyers, GA 30094-4725 2013-06-13
1912174913 Carolyn Kelly Nurse Practitioner 801 6th St S, St Petersburg, FL 33701-4816 2008-05-09
1740328863 Carolyn Kelly Physical Therapist 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 2007-02-01
1427062264 Carolyn Jean Kelly Internal Medicine 3350 La Jolla Village Dr, Mail Code 111h, San Diego, CA 92161-0002 2006-07-28
1164463741 Carolyn S Kelly Counselor 107 Thomason Blvd, Goose Creek, SC 29445-2945 2006-06-08

Office Location

Street Address 396 REMINGTON BLVD STE 370
City BOLINGBROOK
State IL
Zip Code 60440-4302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275141251 Derick Dermatology, LLC Dermatology 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 2020-07-16
1851949150 Rachel Nicole Weis Student in an Organized Health Care Education/Training Program 777 Falconridge Way, Bolingbrook, IL 60440 2019-08-29
1578072815 Onna Ford-kendrick Nurse Practitioner 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 2017-09-28
1891245213 Megan Lotarski Specialist/Technologist 6 Copper Ct, Bolingbrook, IL 60440 2016-10-10
1144775800 Mitchell Quill Chiropractor 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 2016-08-23
1477914125 Alessia L. Elerby Specialist 128 S Cass Ave, Westmont, IL 60440 2016-03-09
1982073821 Melissa Perkins Counselor 511 Preston Drive, Bolingbrook, IL 60440 2015-09-22
1821467754 Advanced Patient Care, LLC. Pharmacy 335-337 Remington Blvd., Bolingbrook, IL 60440 2015-09-22
1770998262 Adventist Bolingbrook Hospital Internal Medicine 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 2014-06-24
1467864512 Alice II Salons Specialist 311 Quadr,., Bolingbrook, IL 60440 2014-05-23
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114214236 Aaron K Kim Podiatrist 396 Remington Blvd Ste 141, Bolingbrook, IL 60440-4306 2011-07-10
1396811824 Bolingbrook Foot Specialists Ltd Podiatrist 454 W Boughton Road, Bolingbrook, IL 60440-1378 2006-11-27
1255987707 Aaron Kim Dpm S.c Podiatrist 396 Remington Blvd, Bolingbrook, IL 60440-4302 2019-08-12
1275880270 Farah Parveen Mohammed Podiatrist 215 Remington Blvd, Suite A2, Bolingbrook, IL 60440-3656 2012-08-08
1215076617 Jeffrey M Mackler Podiatrist 454 W Boughton Rd, Suite A Jeffrey M Mackler Dpm, Bolingbrook, IL 60440-1378 2007-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154930485 Mid America Foot & Ankle Specialist Illinois LLC Podiatrist 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 2020-07-22
1265040026 Northern Illinois Foot & Ankle Specialists, Ltd Podiatrist 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 2020-07-17
1316563612 Jacob Tilsley Podiatrist 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 2020-06-22
1033738547 C James Anderson Dpm LLC Podiatrist 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 2020-04-14
1386263895 C James Anderson Dpm LLC Podiatrist 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 2020-04-14
1821631367 Dr Christine Heck PC Podiatrist 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 2019-10-28
1013562578 Bishoy Atef Botros Podiatrist 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 2019-08-01
1538623947 Steven B Overpeck Dpm PC Podiatrist 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 2019-01-30
1366916355 Center for Foot and Ankle Surgery Ltd Podiatrist 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 2019-01-14
1497224950 Northern Illinois Foot & Ankle Specialists, Ltd Podiatrist 1288 S Us Highway 12, Fox Lake, IL 60020-1950 2018-11-14
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Competitor

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City BOLINGBROOK
Zip Code 60440

Improve Information

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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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