MICHAEL DAVID KELLEHER (NPI# 1154495448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154495448 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID KELLEHER |
| Credential | MD |
| Practice Address |
2300 Childrens Plaza Box #73 Chicago IL 60614-3394 |
| Practice Telephone | 7738803980 |
| Practice Fax Number | 7738688095 |
| Mailing Telephone | 7738804170 |
| Mailing Fax Number | 7738804057 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902205412 | Michael Kelleher | Behavioral Analyst | 2753 Hampton Green Ln, Brandon, FL 33511-7004 | 2014-08-20 |
| 1861846545 | Michael B Kelleher | Internal Medicine | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-04-19 |
| 1518253418 | Michael S Kelleher Jr. | Radiology | 1591 Boston Post Rd Ste 106, Guilford, CT 06437-4335 | 2011-06-20 |
| 1851475800 | Michael B Kelleher | Pathology | 4939 Brittonfield Pkwy, 209, East Syracuse, NY 13057-9208 | 2006-10-25 |
| 1417046004 | Michael John Kelleher | Otolaryngology | 106 Milford Street, Suite 101, Salisbury, MD 21804 | 2006-10-12 |
| 1326001272 | Michael S. Kelleher | Physician Assistant | 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | 2006-04-11 |
| 1811965130 | Michael H Kelleher | Internal Medicine | 5 Neponset St Fl Street12, Worcester, MA 01606-2714 | 2006-03-11 |
| Street Address |
2300 CHILDRENS PLAZA BOX #73 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-3394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529828 | Dawn Diaz Saldano | Nurse Practitioner | 2300 Childrens Plaza, Children's Memorial Hospital, Chicago, IL 60614 | 2005-09-20 |
| 1659642940 | Erin Marie Hoeman | Nurse Practitioner | 2300 Childrens Plaza, Chicago, IL 60614 | 2012-01-19 |
| 1932409984 | Kristina N Stein | Occupational Therapist | 2300 Childrens Plaza, Chicago, IL 60614-3363 | 2010-10-25 |
| 1407012735 | Allison Heather Cole | Pediatrics | 2300 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2008-08-06 |
| 1407021538 | Mandy Tian | Occupational Therapist | 2300 Childrens Plaza, Box 142, Chicago, IL 60614 | 2008-04-29 |
| 1679604193 | Anthony C Chin | Surgery | 2300 Childrens Plaza, Chicago, IL 60614 | 2007-03-08 |
| 1215080460 | Kathleen Quattrocchi Brady | Pediatrics | 2300 Childrens Plaza, Chicago, IL 60614 | 2007-01-19 |
| 1285717751 | Susan Jean Daley | Pediatrics | 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-10-20 |
| 1063514917 | Sharon M Unti | Pediatrics | 2300 Childrens Plaza, Box #18, Chicago, IL 60614 | 2006-09-02 |
| 1447264932 | Cynthia Veronica Stack | Psychiatry & Neurology | 2300 Childrens Plaza, Childrens Memorial Hospital #52, Chicago, IL 60614 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150702 | Kayla Duvall | Pediatrics | 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 | 2016-08-31 |
| 1215304258 | Huda Adam | Pediatrics | 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 | 2015-08-25 |
| 1699916932 | Deanna Marie Behrens | Pediatrics | 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 | 2009-03-17 |
| 1326207663 | Lauren Elizabeth Marsillio | Pediatrics | 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 | 2008-06-02 |
| 1376606491 | Pallavi P. Patwari | Pediatrics | 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 | 2006-12-19 |
| 1972665974 | Denise M. Goodman | Pediatrics | 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 | 2006-12-15 |
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| 1437513918 | Allison Patten | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-04-11 |
| 1316301351 | Joan Nicole Buen | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2016-04-06 |
| 1871956714 | Stephanie Lam | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-03-29 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MICHAEL DAVID KELLEHER.
| 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.