KELLI MARIE KELLER (NPI# 1730207820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730207820 |
| Entity Type | Individual |
| Full Name | KELLI MARIE KELLER |
| Credential | MD |
| Practice Address |
24600 W 127th St Ste B325 Plainfield IL 60585-9502 |
| Mailing Address |
24600 W. 127th St Ste B325 Plainfield IL 60585-9502 |
| Practice Telephone | 8157319100 |
| Practice Fax Number | 8157319110 |
| Mailing Telephone | 8157319100 |
| Mailing Fax Number | 8157319110 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
36117064 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036117064 2 | 05 | |
| IL | BCBS | 2220936 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972940633 | Kelli Annette-isaacs Keller | Family Medicine | 1084 Highway 7 Ste 2, West Liberty, KY 41472-7146 | 2013-06-04 |
| Street Address |
24600 W 127TH ST STE B325 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823780 | Steven Matthew Kovar | Pediatrics | 24600 W 127th St, Building B, Suite 345, Plainfield, IL 60585-9502 | 2005-06-28 |
| 1760031660 | Jasmine Diaz | Social Worker | 24600 W 127th St, Plainfield, IL 60585-9507 | 2019-09-04 |
| 1508216086 | Alison Taylor Dulli | Counselor | 24600 W 127th St, Plainfield, IL 60585-9507 | 2016-06-15 |
| 1780088948 | Kathleen Anne Zielinski | Nurse Practitioner | 24600 W 127th St, Building B, Suite 345, Plainfield, IL 60585-9507 | 2014-10-17 |
| 1033510466 | Carol Wills | Registered Nurse | 24600 W 127th St, Bldg B, Ste 240, Plainfield, IL 60585-9507 | 2014-09-04 |
| 1043632136 | Edward Health Ventures | Clinic/Center | 24600 W 127th St, Ste B205, Plainfield, IL 60585-9507 | 2014-01-09 |
| 1841630589 | Edward Health Ventures | Clinic/Center | 24600 W 127th St, Ste 125, Plainfield, IL 60585-9507 | 2013-06-26 |
| 1336588532 | Edward Health Services Corporation | Non-Pharmacy Dispensing Site | 24600 W 127th St, Plainfield, IL 60585-9507 | 2013-06-20 |
| 1851636047 | Edward Health Ventures | Family Medicine | 24600 W 127th St, Ste 340, Bldg B, Plainfield, IL 60585-9507 | 2012-11-29 |
| 1780948588 | Navrow L.L.C. | Specialist | 24600 W 127th St, Building B Suite 335, Plainfield, IL 60585-9507 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932697968 | Cadience Psych LLC | Psychiatry & Neurology | 1340 Blackthorne Trl N, Plainfield, IN 46168-5603 | 2018-04-25 |
| 1730395054 | Mahyar Parvin | Psychiatry & Neurology | 24821 W 135th St, Plainfield, IL 60544-5413 | 2007-05-15 |
| 1528139961 | Dinesh G Patel | Psychiatry & Neurology | 117-119 Roosevelt Avenue, Plainfield, NJ 07060-1331 | 2006-11-09 |
| 1285719260 | Tanmoy Chandra | Psychiatry & Neurology | 24600 W 127th St Ste B325, Plainfield, IL 60585-9527 | 2006-10-26 |
| 1326304015 | Sai Psychiatry Services, Ltd | Psychiatry & Neurology | 24012 W Renwick Rd, Suit 204b, Plainfield, IL 60544-8731 | 2012-04-06 |
| 1457644304 | Greta Logan Krause | Psychiatry & Neurology | 1729 E Main St, Plainfield, IN 46168-1812 | 2011-05-25 |
| 1700010881 | Cynthia Anne Swartz | Psychiatry & Neurology | 157 Towne Ave, Plainfield, VT 05667-9425 | 2009-05-05 |
| 1134395825 | Mahyar Parvin PC | Psychiatry & Neurology | 24821 W 135th St, Plainfield, IL 60544-5413 | 2008-05-02 |
| 1316155534 | Muhammad Nouman Azhar | Psychiatry & Neurology | 14953 S Van Dyke Rd, Plainfield, IL 60544-5804 | 2007-05-20 |
| 1326119124 | Daniel M Greenwald | Psychiatry & Neurology | Park Ave & Randolph Rd, Plainfield, NJ 07060-3300 | 2006-11-13 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
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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.