KELLY JEAN-MARIE HERMANN (NPI# 1821413329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821413329 |
| Entity Type | Individual |
| Full Name | KELLY JEAN-MARIE HERMANN |
| Credential | P.A.-C |
| Practice Address |
10330 S Roberts Rd Palos Hills IL 60465-1971 |
| Practice Telephone | 7082377200 |
| Practice Fax Number | 7082377201 |
| Mailing Telephone | 7082377200 |
| Mailing Fax Number | 7082377201 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.004943 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10330 S ROBERTS RD |
| City | PALOS HILLS |
| State | IL |
| Zip Code | 60465-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261298 | Mark Kuklewicz | Physical Therapist | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2005-11-02 |
| 1316550957 | Sarah Catherine Probst | Physical Therapist | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2020-08-24 |
| 1720640030 | Tyler James Louviere | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2019-07-08 |
| 1982189189 | Michael Z Szypulinski | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2018-10-03 |
| 1720568207 | Jennifer Rose Applequist | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465 | 2018-08-15 |
| 1932695251 | Andrea Renee Bevolo | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2018-07-10 |
| 1720575970 | Kaitlin Dowling | Occupational Therapist | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2018-04-13 |
| 1346765377 | Jon Kelley Schwermer | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2017-08-10 |
| 1437517703 | Andrzej Waclaw | Occupational Therapist | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2016-02-02 |
| 1699144345 | Kristen M Andel | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306368774 | Cuttings Edge Medical Transit, Inc. | Non-emergency Medical Transport (VAN) | 10612 S Roberts Rd, Suite 10, Palos Hills, IL 60465 | 2017-07-07 |
| 1447781653 | Zain Rehman | Registered Nurse | 10571 Palos Pl, Unit A, Palos Hills, IL 60465 | 2017-03-21 |
| 1770956476 | Judita Slusnys | Nurse Practitioner | 11051 S. 84th Ave, Palos Hills, IL 60465 | 2015-11-04 |
| 1154755098 | Catherine D Moore | Counselor | 9962 Hill Terrence Building 23 Apt 212, Palos Hill, IL 60465 | 2013-08-28 |
| 1770866964 | Dominika Sekulska | Counselor | 10537 South Roberts Road, Palos Hills, IL 60465 | 2011-09-23 |
| 1851686950 | Metropolitan Family Services | Community Based Residential Treatment Facility, Mental Illness | 10537 Roberts Road, Palos Hill, IL 60465 | 2011-06-16 |
| 1205129764 | Zbigniev Durlak | Preventive Medicine | 9930 Stratford L, Palos Hills, IL 60465 | 2011-05-17 |
| 1962562322 | James D Michalarias | Dentist | 9900 S Roberts Rd, Palos Hills, IL 60465 | 2006-12-08 |
| 1912072729 | Illinois Wisconsin Sertoma Regional Center for Communicative Disorders | Speech-Language Pathologist | 10409 South Roberts Road, Palos Hills, IL 60465 | 2006-11-21 |
| 1831201235 | William George Revethis | Internal Medicine | 10400 Roberts Rd, Suite B, Palos Hills, IL 60465 | 2006-08-31 |
| Find all providers in zip 60465 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992999148 | Christopher Francis Serpico | Physician Assistant | 10330 S Roberts Rd Ste 2, Palos Hills, IL 60465-1971 | 2007-08-30 |
| 1982189189 | Michael Z Szypulinski | Physician Assistant | 10330 S Roberts Rd, Palos Hills, IL 60465-1971 | 2018-10-03 |
| 1033187737 | Joy L Smith | Physician Assistant | 10330 S Roberts Rd, Midamerica Hand To Shoulder Clinic, Palos Hills, IL 60465-1971 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HILLS |
| Zip Code | 60465 |
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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.