DR. KELLY NELSON KELLY (NPI# 1780979302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780979302 |
| Entity Type | Individual |
| Full Name | DR. KELLY NELSON KELLY |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc6060 Chicago IL 60637-1447 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7738343352 |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
036134243 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467952788 | Kelly Kelly | Counselor | 1515 Indianola Ave, Columbus, OH 43201-2118 | 2018-02-13 |
| 1003228446 | Kelly Kelly | Nurse Practitioner | 4100 Covert Ave, Evansville, IN 47714-5559 | 2014-05-20 |
| 1295981561 | Kelly D Kelly | Social Worker | 1730 Prospect Ave, Kansas City, MO 64127-2544 | 2008-08-18 |
| 1043493919 | Kelly Lynn Kelly | Audiologist | 8254 Mayfield Rd, Suite #6, Chesterland, OH 44026-2593 | 2007-12-13 |
| Street Address |
5841 S MARYLAND AVE # MC6060 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598296279 | Harris Khawaja | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1443 | 2017-03-23 |
| 1285082503 | Jupin Chacko | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1443 | 2016-05-26 |
| 1811342025 | Allison Frances Dahlgren | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1443 | 2016-04-26 |
| 1891140117 | Kenneth Martin Lester Kellner | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1443 | 2016-04-25 |
| 1699156844 | Annie Zhili Wang | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637 | 2015-06-13 |
| 1730421645 | Madeline Cayton | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2013-03-19 |
| 1184986861 | Christine Carlos | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637 | 2012-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1023294519 | Center for Autonomic Medicine In Pediatrics | Pediatrics | 2300 N Childrens Plz # 64, Chicago, IL 60614-3363 | 2008-01-14 |
| 1780807925 | Daniel T Robinson | Pediatrics | Children's Memorial Hospital, Division of Neonatology, 2300 Children's Plaza, Box 45, Chicago, IL 60614 | 2007-04-10 |
| 1134207111 | Northside Neonatal and Infant Care Sc | Pediatrics | 836 W Wellington, Chicago, IL 60657 | 2006-11-01 |
| 1124106109 | Ramakrishna Velamati | Pediatrics | 2900 N Lakeshore Drive, Chicago, IL 60657 | 2006-11-01 |
| 1245284504 | Maria Luz V Dizon | Pediatrics | Box #45, 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-05-20 |
| 1588617435 | Kathryn N Farrow | Pediatrics | Box 45, Childrens Memorial Hospital 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-05-19 |
| 1487607891 | Beverley Robin | Pediatrics | 1464 S Michigan Ave, Suite 1304, Chicago, IL 60605-3711 | 2006-05-18 |
| 1407809908 | Isabelle G De Plaen | Pediatrics | 225 E Chicago Ave # 45, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2605 | 2006-05-18 |
| 1497708994 | Ruth B Deddish | Pediatrics | 2300 Childrens Plaza Box 45, Childrens Memorial Hospital, Chicago, IL 60614-3394 | 2006-05-18 |
| Find all providers in CHICAGO | ||||
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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.