DR. CAROLYN V KELLY (NPI# 1639503345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639503345 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN V KELLY |
| Other Name | MRS. CARI V KELLY |
| Credential | DPT |
| Practice Address |
4700 Gilbert Ave Suite 51 Western Springs IL 60558-1753 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 7083871737 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070.020153 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407197072 | Carolyn Ann Kelly | Nurse Practitioner | 11 Osborne St, Danbury, CT 06810-5918 | 2013-03-07 |
| 1619264041 | Carolyn Kelly | Podiatrist | 396 Remington Blvd Ste 370, Bolingbrook, IL 60440-4302 | 2011-07-06 |
| 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 |
| 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 |
| Street Address |
4700 GILBERT AVE SUITE 51 |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650004 | Timothy Dale Kisner | Physical Therapist | 4700 Gilbert Ave, Suite 43a, Western Springs, IL 60558-1753 | 2005-12-16 |
| 1083124176 | Jessica Milos | Pharmacist | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2017-10-03 |
| 1275069296 | Lawrence Kocen | Physician Assistant | 4700 Gilbert Ave, Suite 51,52, Western Springs, IL 60558-1753 | 2017-05-11 |
| 1760913883 | Janis Noone | Nurse Practitioner | 4700 Gilbert Ave, Suite 52, 51, Western Springs, IL 60558-1753 | 2017-03-21 |
| 1659765709 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 4700 Gilbert Ave, Ste43a, Western Springs, IL 60558-1753 | 2015-03-26 |
| 1790189454 | Walgreena | Pharmacy | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2014-10-09 |
| 1558789792 | Hinsdale Orthopaedic Associates, Sc | Orthopaedic Surgery | 4700 Gilbert Ave, Suite 52, Western Springs, IL 60558-1753 | 2014-04-04 |
| 1144598178 | Robert Andrew Guttman | Pharmacist | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2011-12-05 |
| 1194002337 | Tanya A Hryhorczuk | Pharmacist | 4700 Gilbert Ave, #58, Western Springs, IL 60558-1753 | 2011-11-15 |
| 1578840971 | Renee Lyons | Pharmacist | 4700 Gilbert Ave, Western Springs, IL 60558-1753 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275865230 | Kate Shean Inc | Physical Therapist | 3829 Woodland Ave, Western Springs, IL 60558-1119 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
| 1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
| 1356968374 | Genevieve Joy Owen | Physical Therapist | 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 | 2020-06-26 |
| 1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
| 1154972719 | Antonio Marquez | Physical Therapist | 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 | 2019-09-25 |
| 1376198978 | Natalie N Ruebke | Physical Therapist | 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 | 2019-08-09 |
| 1902360241 | Stephanie Lynne Burkhart | Physical Therapist | 12251 W 159th St, Homer Glen, IL 60491-7847 | 2019-01-30 |
| 1003388943 | Scoliosis Therapy Care and More LLC | Physical Therapist | 4n369 Booth Tarkington St, St Charles, IL 60175-7731 | 2018-12-17 |
| 1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
| 1497251086 | John William Herbert | Physical Therapist | 1316 N Route 59, Naperville, IL 60563-4286 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
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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.