Mark John Kelly (NPI# 1770641136, PAC ID# 8123183720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1770641136 |
| PAC ID by PECOS | 8123183720 |
| Professional Enrollment ID | I20090327000164 |
| Full Name | Mark John Kelly |
| Organization Legal Name | RADIOLOGY SUBSPECIALISTS OF NORTHERN ILLINOIS LLC |
| Address |
235 S Gary Ave Bloomingdale IL 60108-2213 |
| Phone Number | 6308939600 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2264717925 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 235 S Gary Ave, Bloomingdale, IL 60108-2213 | 6308939600 | RADIOLOGY SUBSPECIALISTS OF NORTHERN ILLINOIS LLC |
| 25 N Winfield Rd, Winfield, IL 60190-1222 | 6306659340 | RADIOLOGY SUBSPECIALISTS OF NORTHERN ILLINOIS LLC |
| Organization Legal Name | RADIOLOGY SUBSPECIALISTS OF NORTHERN ILLINOIS LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Zweig | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Kiran V Talanki | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| John C Treanor | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Morlie L Wang | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Sanket C Shah | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| David S Chiang | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Fatma Y Ahmed | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Michael H Tseng | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Waseem K Khan | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Ryan T Foley | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Street Address |
235 S GARY AVE |
| City | BLOOMINGDALE |
| State | IL |
| Zip | 60108-2213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Imelda Andaya Sia | Family Medicine | 113 W Lake St, Bloomingdale, IL 60108-1006 | |
| George Joseph Carioscia | Podiatry | Foot and Ankle Center | 117 W Lake St, Bloomingdale, IL 60108-1006 |
| Jessica A Sullivan | Podiatry | Foot and Ankle Center | 117 W Lake St, Bloomingdale, IL 60108-1006 |
| Alex Aurelio Sanchez | Geriatric Medicine | 113 W Lake St, Bloomingdale, IL 60108-1006 | |
| Ralph G Esposito | Podiatry | Foot and Ankle Center | 117 W Lake St, Bloomingdale, IL 60108-1006 |
| Tapan Joshi | Chiropractic | 107 W Lake St, Suite 103, Bloomingdale, IL 60108-1027 | |
| John R Hamm | Podiatry | 111 E Lake St, Suite 2, Bloomingdale, IL 60108-1153 | |
| Amjad A Bhatti | Physical Therapy | 125 S Bloomingdale Rd, Suite 11, Bloomingdale, IL 60108-1216 | |
| Christopher J Staron | Optometry | 505 W Army Trail Rd, Bloomingdale, IL 60108-1391 | |
| Glenn R Scheive | Maxillofacial Surgery | Drs Boyer and Scheive D D S P C | 183 S Bloomingdale Rd, Suite 205, Bloomingdale, IL 60108-1400 |
| Find all physicians in zip 60108 | |||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BLOOMINGDALE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mark John Kelly.
| 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.