KELLY MCCLINTOCK (NPI# 1538567615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538567615 |
| Entity Type | Individual |
| Full Name | KELLY MCCLINTOCK |
| Credential | APN, FNP-C |
| Practice Address |
6131 Dempster St Morton Grove IL 60053-2953 |
| Practice Telephone | 8479675010 |
| Mailing Telephone | 8479675010 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209012025 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457852188 | Kelly Ann Mcclintock | Speech-Language Pathologist | 198 Geneva Ave, Dorchester, MA 02121-3860 | 2018-02-27 |
| 1679769996 | Kelly Mcclintock | Occupational Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2007-09-20 |
| 1588746218 | Kelly L Mcclintock | Dentist | 8401 Chagrin Rd Ste 11, Chagrin Falls, OH 44023-4702 | 2006-10-20 |
| Street Address |
6131 DEMPSTER ST |
| City | MORTON GROVE |
| State | IL |
| Zip Code | 60053-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136961 | Kathy Bailey | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-07 |
| 1356601256 | Hillary Cohen Ecker | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2012-05-24 |
| 1194972828 | Judith Whitford James | Nurse Practitioner | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2008-08-25 |
| 1134305402 | Susana Salcedo | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2008-01-16 |
| 1376672212 | Ellen Aleksandrovich | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2007-03-05 |
| 1609950807 | Nichelle J Pajeau | Physician Assistant | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2006-10-24 |
| 1770581092 | Jerry Bernstein | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-11 |
| 1841298395 | Daniel Lazar | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-08 |
| 1750389201 | Lexy Wistenberg | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-08 |
| 1467450999 | Gordon Cotell | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
| 1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
| 1578053674 | Megan Ruffalo | Home Health | 8922 Marion Ave, Morton Grove, IL 60053 | 2018-05-14 |
| 1215441381 | Kristen Marie Kowalski | Occupational Therapist | 8145 River Dr Ste 101, Morton Grove, IL 60053 | 2017-11-27 |
| 1760846190 | Lukasz Jarosinski | Physical Therapy Assistant | 8425 N Waukegan, Morton Grove, IL 60053 | 2016-04-12 |
| 1538547898 | Alysha Gillani | Behavioral Analyst | 9240 Merrill Ave, Morton Grove, IL 60053 | 2015-05-07 |
| 1043578909 | Jordan Jon Wolf | Social Worker | 9224 Cameron Lane, Morton Grove, IL 60053 | 2012-04-30 |
| 1427217454 | Amy Sakoda | Specialist | 9400 N Orile, Morton Grove, IL 60053 | 2008-06-05 |
| 1063679348 | Minsook Do Kroon | Chiropractor | 6021 W Dempster, Morton Grove, IL 60053 | 2008-05-22 |
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| Find all providers in zip 60053 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205938 | Lavinia Roxana Covaciu | Nurse Practitioner | 6513 Palma Ln, Morton Grove, IL 60053-1456 | 2020-08-12 |
| 1649801374 | Aneta Sacha | Nurse Practitioner | 8307 Central Ave, Morton Grove, IL 60053-3418 | 2020-01-31 |
| 1265891865 | Philomina Toni | Nurse Practitioner | 5732 Lyons St, Morton Grove, IL 60053-1549 | 2016-02-11 |
| 1083790059 | Kathleen Murray | Nurse Practitioner | 9301 Waukegan Road, Morton Grove, IL 60053 | 2006-10-31 |
| 1770901878 | Damaris Stoia | Nurse Practitioner | 9201 Waukegan Rd, Morton Grove, IL 60053 | 2014-04-04 |
| 1386994416 | Lori Holloway | Nurse Practitioner | 9301 Waukegan Rd, Morton Grove, IL 60053-1313 | 2012-09-17 |
| 1194006841 | Leslie Jeanne Kelty | Nurse Practitioner | 9301 Waukegan Rd, Morton Grove, IL 60053-1313 | 2011-09-07 |
| 1194972828 | Judith Whitford James | Nurse Practitioner | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2008-08-25 |
| 1437352101 | Jennifer M Frank | Nurse Practitioner | 9301 Waukegan Rd, Morton Grove, IL 60053-1313 | 2007-06-08 |
| 1538233705 | Sandra Vanderhoek | Nurse Practitioner | 9301 Waukegan Rd, Morton Grove, IL 60053-1313 | 2006-11-20 |
| Find all providers in MORTON GROVE | ||||
| City | MORTON GROVE |
| Zip Code | 60053 |
Please comment or provide details below to improve the information on KELLY MCCLINTOCK.
| 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.