JACLYN KELLER (NPI# 1982066494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982066494 |
| Entity Type | Individual |
| Full Name | JACLYN KELLER |
| Practice Address |
300 Randall Rd Geneva IL 60134-4200 |
| Practice Telephone | 6309334700 |
| Practice Fax Number | 6309334427 |
| Mailing Telephone | 6309334700 |
| Mailing Fax Number | 6309334427 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 036149646 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Maywood, IL 601533328 | 7082165368 | |
| 25 N Winfield Rd, Winfield, IL 601901222 | 6309334700 | 6309334427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144751710 | Jaclyn Michelle Keller | Social Worker | 21476 N John Wayne Pkwy, Maricopa, AZ 85139-8983 | 2017-03-24 |
| 1285080374 | Jaclyn Keller | Specialist | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2016-05-09 |
| 1740662857 | Jaclyn Keller | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2015-06-25 |
| 1154617652 | Jaclyn Ann Keller | Optometrist | 126 Charles St, Oconto, WI 54153-9446 | 2011-06-22 |
| Street Address |
300 RANDALL RD |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859655 | Delnor-community Hospital | General Acute Care Hospital | 300 Randall Rd, Geneva, IL 60134-4200 | 2005-05-23 |
| 1811524994 | Daniel Reine | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
| 1336776400 | Hope Christiansen | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
| 1962039677 | Ellean Zhang | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-24 |
| 1730716598 | Han Myoung Park | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-23 |
| 1225664220 | Autumn E Bernicky | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-21 |
| 1457985350 | Kinga Radowska | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-02-28 |
| 1104387885 | Rachel Elizabeth Dewey | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-26 |
| 1649739913 | Evan Justin Hale | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-17 |
| 1124557152 | Josephine Soyoung Lee-kim | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2017-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753884 | Geneva County Healthcare Authority, Inc. | Hospitalist | 1200 W Maple Ave, Geneva, AL 36340-1642 | 2019-11-05 |
| 1124557152 | Josephine Soyoung Lee-kim | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2017-06-04 |
| 1306226246 | Hailey Elaine Wouters | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
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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.