DYMPNA M KELLY (NPI# 1558471862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558471862 |
| Entity Type | Individual |
| Full Name | DYMPNA M KELLY |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave # Mc5026 Chicago IL 60637-1443 |
| Mailing Address |
150 Harvester Dr Ste 300 Burr Ridge IL 60527-5965 |
| Practice Telephone | 7737021061 |
| Mailing Telephone | 7737021061 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 036142636 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35086230 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2691207 | 05 |
| Street Address |
5841 S MARYLAND AVE # MC5026 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676434 | U Kumar Jayant | Student in an Organized Health Care Education/Training Program | 5841 S Maryland Ave # Mc5026, Chicago, IL 60637-1443 | 2017-08-29 |
| 1568880920 | Braden Juengel | Transplant Surgery | 5841 S Maryland Ave # Mc5026, Chicago, IL 60637-1443 | 2014-04-02 |
| 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 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992739 | Pierpaolo Di Cocco | Transplant Surgery | 4041 N Keystone Ave Apt A, Chicago, IL 60641-5556 | 2017-10-04 |
| 1790203057 | Rosario Angelica Perez Gutierrez | Transplant Surgery | 5841 S Maryland Ave # 5027, Chicago, IL 60637-1443 | 2017-09-06 |
| 1790913093 | Inbo Shim | Transplant Surgery | 5841 S Maryland Ave # J517, Chicago, IL 60637-1447 | 2009-06-24 |
| 1568664555 | Ivo Georgiev Tzvetanov | Transplant Surgery | 840 S. Wood Street - Mc 958, Ste 402, Chicago, IL 60612-4325 | 2007-06-03 |
| 1124050406 | Joseph R Leventhal | Transplant Surgery | 676 N Saint Clair St Fl 19, Chicago, IL 60611-2927 | 2006-07-07 |
| 1861435182 | Rolf N. Barth | Transplant Surgery | 5841 S Maryland Ave Ste J-517, Chicago, IL 60637-1443 | 2006-06-14 |
| 1164477345 | Peter F Whitington | Transplant Surgery | 2300 Children's Plaza, Box 57, Chicago, IL 60614-3394 | 2006-05-24 |
| 1386600617 | Joshua Miller | Transplant Surgery | Northwestern University, Fienberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60611-1005 | 2006-04-25 |
| 1255311577 | Talia Baker | Transplant Surgery | 5841 S. Maryland Avenue, Mc 5030, Chicago, IL 60637 | 2006-01-20 |
| 1275096810 | Rose Mcclure Dwyer | Transplant Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2019-04-10 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DYMPNA M KELLY.
| 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.