EILEEN A KELLY (NPI# 1720179583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720179583 |
| Entity Type | Individual |
| Full Name | EILEEN A KELLY |
| Credential | M.D. |
| Practice Address |
2050 Pfingsten Rd Suite 360 Glenview IL 60026-1324 |
| Mailing Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201-1718 |
| Practice Telephone | 8476571819 |
| Practice Fax Number | 8476571898 |
| Mailing Telephone | 8475701644 |
| Mailing Fax Number | 8477335315 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275860793 | Eileen Elizabeth Kelly | Licensed Practical Nurse | 234 Salem Rd, Pound Ridge, NY 10576-1319 | 2009-11-04 |
| 1841428943 | Eileen Joyce Kelly | Massage Therapist | 2953 Bee Ridge Rd, Sarasota, FL 34239 | 2009-06-26 |
| 1184271785 | Eileen Kelly | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-20 |
| 1659729952 | Eileen Kelly | Occupational Therapist | 1 Skyline Dr, Suite 298, Hawthorne, NY 10532-2157 | 2016-05-26 |
| 1033473723 | Eileen Kelly | Early Intervention Provider Agency | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2012-06-27 |
| 1073738092 | Eileen Patrice Kelly | Marriage & Family Therapist | 111 East Avenue, Suite 313, Norwalk, CT 06851 | 2007-04-16 |
| 1962587105 | Eileen Kelly | Marriage & Family Therapist | 699 Hampshire Rd, Suite 215, Westlake Village, CA 91361-2379 | 2006-10-26 |
| 1285729442 | Eileen Kelly | Nurse Practitioner | 1403 Medical Plaza Dr, Suite 202, Sanford, FL 32771-1000 | 2006-10-04 |
| 1689616773 | Eileen Kelly | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2006-06-12 |
| Street Address |
2050 PFINGSTEN RD SUITE 360 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924931 | Thomas George Neumann | Internal Medicine | 2050 Pfingsten Rd, Ste 110, Glenview, IL 60026-1324 | 2005-09-29 |
| 1912529264 | Lyly Tran | Pharmacist | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2020-05-09 |
| 1417442971 | Gess Suboc | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-27 |
| 1104310325 | Rachael Libertin | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-20 |
| 1033603840 | Taisha Doo | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2018-06-15 |
| 1285016410 | Sarah Stombaugh | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2015-06-24 |
| 1063827343 | Lisa Moore | Family Medicine | 2050 Pfingsten Rd, Glenview, IL 60026-1324 | 2014-06-25 |
| 1598170847 | Stephanie Tetreault | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026 | 2014-06-25 |
| 1245672054 | Won Woo Christopher Lee | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2013-07-22 |
| 1740622703 | Anthony Cipolla | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164463535 | Leslie Anne Brookfield | Internal Medicine | 1255 N. Milwaukee Av, Glenview, IL 60025-2442 | 2006-06-09 |
| 1922448299 | Jared Jon Liebelt | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026-1326 | 2013-07-01 |
| 1316147788 | Jeffrey John Marogil | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2007-07-23 |
| 1144307729 | Jason C. Robin | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-11-01 |
| 1568559458 | Alex Sue Ro | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-10-10 |
| 1558467886 | Joseph V Messer | Internal Medicine | 2501 Compass Rd, Suite 100, Glenview, IL 60026-8000 | 2006-09-15 |
| 1477588440 | Elaine Gorelik | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026-1326 | 2006-07-11 |
| 1396709093 | Micah J Eimer | Internal Medicine | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2006-04-12 |
| 1699742163 | Michael J. Waligora | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026-1326 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
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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.