Kelly, Maureen E

Kelly, Maureen E is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1256. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kelly, Maureen E can be contacted via phone (708) 923-5869.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1256
Phone: (708) 923-5869
Fax: (708) 923-5859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036152493 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036152493 Illinois

Profile Details

NPI number 1912428723
LBN Legal business name Kelly, Maureen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Nov 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912428723 NPPES
Illinois MEDICAID 036152493

Popular Providers