DR. JONATHAN RICHARD KELLY (NPI# 1144522574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144522574 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN RICHARD KELLY |
| Credential | M.D. |
| Practice Address |
600 South Paulina Street Chicago IL 60612 |
| Mailing Address |
51 North Brainard Avenue Lagrange IL 60525-0575 |
| Practice Telephone | 3129422832 |
| Practice Fax Number | 7085793954 |
| Mailing Telephone | 7084820090 |
| Mailing Fax Number | 7085793954 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
036059014 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898099 | Jonathan Eric Kelly | Pharmacist | 150 Ashley Ave # Msc584, Charleston, SC 29425-8907 | 2020-07-13 |
| 1982165254 | Jonathan Michael Kelly | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2019-03-28 |
| 1053529446 | Jonathan D Kelly | Physician Assistant | 102 Llano St, Aztec, NM 87410-2172 | 2007-05-18 |
| 1467496422 | Jonathan D Kelly | Emergency Medicine | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2006-06-16 |
| Street Address |
600 SOUTH PAULINA STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245586593 | Mathew Shaji Markos | Psychiatry & Neurology | 2650 S California Ave, Suite 1001, Chicago, IL 60608-5146 | 2012-07-24 |
| 1083935134 | Sundeep Singh Randhawa | Psychiatry & Neurology | 1431 N Claremont Ave Fl 2, Chicago, IL 60622-1702 | 2010-06-11 |
| 1205013299 | Richard A Crane | Psychiatry & Neurology | 3750 N Lake Shore Dr, Chicago, IL 60613-4238 | 2008-01-22 |
| 1831237502 | Linda F Gruenberg | Psychiatry & Neurology | 307 N. Michigan Ave, Suite 922, Chicago, IL 60601 | 2007-02-02 |
| 1053408617 | Helen Morrison | Psychiatry & Neurology | 3000 W Logan Blvd, Chicago, IL 60647-1708 | 2006-10-06 |
| 1417345463 | Linda F Gruenberg Do Sc | Psychiatry & Neurology | 307 N Michigan Ave, Suite 922, Chicago, IL 60601-5311 | 2014-12-29 |
| 1780971796 | Roni Lynn Seltzberg | Psychiatry & Neurology | 216 S Jefferson St, Suite 101, Chicago, IL 60661-5608 | 2011-06-29 |
| 1659661650 | Yaser A Haq | Psychiatry & Neurology | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2011-04-11 |
| 1821209982 | Karen S. Wiviott | Psychiatry & Neurology | 333 N Michigan Ave, Suite 1114, Chicago, IL 60601-3901 | 2007-05-24 |
| 1942323654 | David Winston Carrington | Psychiatry & Neurology | 1725 W Harrison St, Suite 110, Chicago, IL 60612-3841 | 2007-04-09 |
| Find all providers in CHICAGO | ||||
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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.