Kelley O Holloway Marshall (NPI# 1942593231, PAC ID# 6608026166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1942593231 |
| PAC ID by PECOS | 6608026166 |
| Professional Enrollment ID | I20121019000037 |
| Full Name | Kelley O Holloway Marshall |
| Organization Legal Name | PREFERRED PODIATRY GROUP PC |
| Address |
940 W Cullom Ave Margaret Manor North Chicago IL 60613-1619 |
| Phone Number | 7735259000 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3971412677 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 609 Broadway, Berlin, WI 54923-1357 | 9203613008 | PREFERRED PODIATRY GROUP PC |
| 940 W Cullom Ave, Margaret Manor North, Chicago, IL 60613-1619 | 7735259000 | PREFERRED PODIATRY GROUP PC |
| 2330 Straightline Pike, Richmond, IN 47374-7259 | 7659667681 | PREFERRED PODIATRY GROUP PC |
| Organization Legal Name | PREFERRED PODIATRY GROUP PC |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rizwan Tai | Podiatry | Preferred Podiatry Group PC | 3503 Fm 1092 Rd, Missouri City, TX 77459-2255 |
| Anie A Cherian | Podiatry | Preferred Podiatry Group PC | 7887 Cambridge St, Houston, TX 77054-2013 |
| Kirk D Brock | Podiatry | Preferred Podiatry Group PC | 12429 Scofield Farms Dr, Austin, TX 78758-2640 |
| Roger Hill-sukie | Podiatry | Preferred Podiatry Group PC | 907 Garwood St, Smithville, TX 78957-1117 |
| Jessica R Johnson | Podiatry | Preferred Podiatry Group PC | 221 2nd St, Fowler, CO 81039-1201 |
| Kevin Micah Renner | Podiatry | Preferred Podiatry Group PC | 1550 Villa Dr, De Soto, MO 63020-2586 |
| Andrea Gillio | Podiatry | Preferred Podiatry Group PC | 444 N W View Dr, Osceola, IA 50213-8267 |
| Ramona L Brooks | Podiatry | Preferred Podiatry Group PC | 1821 Anderson Ave Nw, Atlanta, GA 30314-1835 |
| Alan S Rothstein | Podiatry | Preferred Podiatry Group PC | 14699 E Hampden Ave, Aurora, CO 80014-3903 |
| Mary C Zavada | Podiatry | Preferred Podiatry Group PC | 3325 Texas Ave, Joplin, MO 64804-4343 |
| Street Address |
940 W CULLOM AVE MARGARET MANOR NORTH |
| City | CHICAGO |
| State | IL |
| Zip | 60613-1619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jong L Jin | Internal Medicine | Prime Medical Associates Ltd | 940 W Cullom Ave, Chicago, IL 60613-1619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna W Bolen | Psychologist, Clinical | 4350 N Hermitage Ave, Chicago, IL 60613-1106 | |
| Seth Solway | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 211, Chicago, IL 60613-1114 | |
| Dennis F Pomerleau | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Damita Larue | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 220, Chicago, IL 60613-1114 | |
| Judith H Bobbe | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 304, Chicago, IL 60613-1114 | |
| Andrea H Fink | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Tatiana A Jaramillo | Nurse Practitioner | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Jason G Fennema | Chiropractic | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Kristin Buller | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 303, Chicago, IL 60613-1114 | |
| Ashok C Shah | Internal Medicine | 1624 W Montrose Ave, Chicago, IL 60613-1214 | |
| Find all physicians in zip 60613 | |||
| City | CHICAGO |
| Zip Code | 60613 |
| Specialty | PODIATRY |
| City + Specialty | CHICAGO + PODIATRY |
Please comment or provide details below to improve the information on Kelley O Holloway Marshall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.