MR. ROBERT J KELLY (NPI# 1902029291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902029291 |
| Entity Type | Individual |
| Full Name | MR. ROBERT J KELLY |
| Credential | RPH |
| Practice Address |
4101 W 95th St Oak Lawn IL 60453-3587 |
| Mailing Address |
Po Box 244 Palos Park IL 60464-0244 |
| Practice Telephone | 7087159674 |
| Mailing Telephone | 7087159674 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26019073A | IN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS19741 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051033870 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871902494 | Robert Keith Kelly | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2014-08-07 |
| 1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
| 1922375310 | Robert R. Kelly | Pediatrics | 110 Poncha Ave, Alamosa, CO 81101-2160 | 2011-11-29 |
| 1174708267 | Robert D. Kelly | Physical Medicine & Rehabilitation | 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 | 2008-01-08 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1457555054 | Robert Henry Kelly | Orthopaedic Surgery | 1006 Russell Loop, The Villages, FL 32162-6458 | 2007-06-14 |
| 1811101876 | Robert H Kelly | Dentist | 24540 E Welches Rd, Welches, OR 97067-0347 | 2007-05-09 |
| 1790850675 | Robert Toms Kelly | Dentist | 1635 Doctors Cir, Wilmington, NC 28401-7405 | 2006-11-23 |
| 1497863039 | Robert B Kelly | Family Medicine | 14601 Detroit Rd Fl 2, Lakewood, OH 44107 | 2006-08-25 |
| 1811900756 | Robert Mouledoux Kelly | Optometrist | 4225 Lapalco Blvd., Marrero, LA 70072-4338 | 2006-08-14 |
| Street Address |
4101 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-3587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831524545 | Joseph T Guglielmi | Pharmacist | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2013-09-12 |
| 1083645147 | Kmart Stores of Illinois LLC | Pharmacy | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176592 | Matthew Mulvaney | Pharmacist | 4329 W 99th Pl, Oak Lawn, IL 60453-3514 | 2020-05-22 |
| 1124520358 | Hussein Ahmad Hindi | Pharmacist | 8817 Mcvicker Ave, Oak Lawn, IL 60453-1135 | 2018-03-04 |
| 1497029383 | Hawa Alyhabib | Pharmacist | 7004 W 96th St, Oak Lawn, IL 60453-2013 | 2012-02-24 |
| 1598034696 | Mitchell Ciesla | Pharmacist | 10532 S Tripp Ave, Oak Lawn, IL 60453-4948 | 2011-12-19 |
| 1235407578 | Jaime Lynn Groetsema | Pharmacist | 6201 W. 95th Street, Oak Lawn, IL 60453 | 2011-12-01 |
| 1861778979 | John B Olsen | Pharmacist | 9133 Kedvale Ave, Oak Lawn, IL 60453-1916 | 2011-11-02 |
| 1801179486 | Ida Shalabi | Pharmacist | 4740 West 95th Street, Oak Lawn, IL 60453 | 2011-09-21 |
| 1124308879 | Nancy J. Salman | Pharmacist | 9801 S Tripp Ave, Oak Lawn, IL 60453-3553 | 2011-08-26 |
| 1992028203 | Jennifer L Borgeson | Pharmacist | 11100 S. Cicero Ave, Kmart Pharmacy, Oak Lawn, IL 60453 | 2010-03-02 |
| 1649592593 | John C Gebhardt | Pharmacist | 11000 S Cicero Ave, Oak Lawn, IL 60453-5504 | 2010-02-19 |
| Find all providers in OAK LAWN | ||||
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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.