DR. STEPHANIE BETH HAMPEL KELLY (NPI# 1528417912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528417912 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE BETH HAMPEL KELLY |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave Ste Mc7082 Chicago IL 60637-1465 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737020309 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125.068907 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125.068907 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760420 | Stephanie Kelly | Counselor | 1819 S Dobson Rd Ste 115, Mesa, AZ 85202-5656 | 2018-08-21 |
| 1982067195 | Stephanie Marie Kelly | Licensed Practical Nurse | 5626 Bunbury Ter, Clay, NY 13041-6910 | 2016-04-04 |
| 1154766186 | Stephanie Albers Kelly | Technician | 2685 Leeds Ave, North Charleston, SC 29405-6861 | 2013-05-03 |
| 1710117700 | Stephanie Kelly | Physical Therapist | 11 Carnegie Ave, Street Line 2, Cold Spring Harbor, NY 11724-2016 | 2009-07-23 |
| 1619508017 | Stephanie Ann Kelly | Counselor | 207 W Morgan St, Brandon, FL 33510-4429 | 2020-02-04 |
| 1497296362 | Stephanie Lynn Kelly | Nurse Practitioner | 4475 S I 19 Frontage Rd Ste 139, Green Valley, AZ 85614-5884 | 2017-03-13 |
| 1780012484 | Stephanie Lyn Kelly | Marriage & Family Therapist | 2258 Camino Ramon, San Ramon, CA 94583-1353 | 2013-10-16 |
| 1578999322 | Stephanie Lynn Kelly | Physician Assistant | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2013-09-24 |
| 1487920849 | Stephanie L Kelly | Registered Nurse | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2012-03-29 |
| 1447574595 | Stephanie Kelly | Psychologist | 3145 W Pratt Blvd, Chicago, IL 60645-4125 | 2010-03-18 |
| Street Address |
5841 S MARYLAND AVE STE MC7082 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124349550 | Margaret Zhi-yin Tsien | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Medpeds Residency Program, Chicago, IL 60637-1465 | 2010-06-21 |
| 1306469127 | Juliana Da Silva | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-05-27 |
| 1043831894 | Inae Esther Jang | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-05-04 |
| 1659992923 | Michael J Clarke | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1902427214 | Olivia Catherine Lanser | Student in an Organized Health Care Education/Training Program | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1821619172 | Samuel Yates | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1407476856 | Sharjeel Syed | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-25 |
| 1376163865 | Jack Zhao | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-24 |
| 1386264943 | Andrew Robert Zasada | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-23 |
| 1750901500 | Christopher Jerome Kaperak | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
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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.