MARK KELLY (NPI# 1770641136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770641136 |
| Entity Type | Individual |
| Full Name | MARK KELLY |
| Practice Address |
25 N Winfield Road Winfield IL 60190 |
| Mailing Address |
89 Old Creek Rd Palos Park IL 60464-1414 |
| Practice Telephone | 6309334240 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036091461 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356449755 | Mark Christopher Kelly | Physical Therapist | 1 Brace Rd Ste A, Cherry Hill, NJ 08034 | 2006-09-20 |
| 1760942403 | Mark Kelly | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2019-03-20 |
| 1174027320 | Mark Kelly | Student in an Organized Health Care Education/Training Program | 677 Church Street, Attn: Gme, Marietta, GA 30060 | 2018-03-22 |
| 1366804742 | Mark Ryan Kelly | Counselor | 1908 N Laurent St, Suite 120, Victoria, TX 77901-5468 | 2016-03-24 |
| 1639300932 | Mark Kim Kelly | Radiology | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 | 2009-08-04 |
| 1093889263 | Mark Joseph Kelly | Urology | 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403-4812 | 2006-11-20 |
| 1578656393 | Mark T Kelly | Dentist | 3637 Nw 39th St, Oklahoma City, OK 73112-6309 | 2006-10-02 |
| 1407958325 | Mark Paul Kelly | Clinical Neuropsychologist | 6900 Georgia Ave Nw, Walter Reed Army Medical Center, Washington, DC 20307-0003 | 2006-09-01 |
| 1457394090 | Mark Kelly | Emergency Medicine | 1220 Jefferson St, Laurel, MS 39440-4355 | 2006-06-13 |
| 1346294022 | Mark Edward Kelly | Anesthesiology | 2 Columbia Dr, Tampa, FL 33606-3508 | 2006-05-19 |
| Street Address |
25 N WINFIELD ROAD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514360 | Thomas A. Eiseman | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2005-08-09 |
| 1750813580 | Ingrid Kanady | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190-1295 | 2017-03-30 |
| 1447647201 | Sarah Liljeberg | Nurse Practitioner | 25 N Winfield Road, Ste 420, Winfield, IL 60190-1295 | 2015-04-20 |
| 1174878896 | Kristin Lynn Rosenberger | Physical Therapist | 25 N Winfield Road, Winfield, IL 60190-1295 | 2012-07-18 |
| 1831463975 | Central Dupage Hospital | General Acute Care Hospital | 25 N Winfield Road, Winfield, IL 60190 | 2012-03-07 |
| 1841587599 | Brian Christopher Fort | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2011-07-01 |
| 1174821201 | Andrea Fuller | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190 | 2011-03-15 |
| 1790017085 | Lee Michael De Dore | Physician Assistant | 25 N Winfield Road, Suite 505, Winfield, IL 60190 | 2010-02-11 |
| 1871823971 | Jennifer Aileen Chiaramonte | Speech-Language Pathologist | 25 N Winfield Road, Winfield, IL 60190 | 2010-01-12 |
| 1194981019 | Joshua A Blomgren | Family Medicine | 25 N Winfield Road, Winfield, IL 60190-1295 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669698825 | Nilay A. Patel | Radiology | Central Dupage Hospital, 25 Winfield Road, Winfield, IL 60190 | 2007-04-17 |
| 1780655712 | Integrity Imaging Pa | Radiology | 1300 E 5th Ave, Winfield, KS 67156-2407 | 2006-01-28 |
| 1568717627 | Ruqayyah Muslehuddin | Radiology | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2012-07-16 |
| 1164651196 | Owen Kamil Sweis | Radiology | 25 N Winfield Rd, Winfield, IL 60189 | 2009-07-12 |
| 1841498672 | Renato Ripamonti | Radiology | 25 N. Winfield Rd., Winfield, IL 60190 | 2007-07-03 |
| 1962533927 | Craig Hayden Pieters | Radiology | 25 N. Winfield Rd, Central Dupage Hospital Diagnostic Imaging, Winfield, IL 60190 | 2007-03-08 |
| 1316007131 | Michael Hsiang-che Tseng | Radiology | 25 N Winfield Rd, Winfield, IL 60190 | 2006-12-11 |
| 1285793364 | Michael Albert Nixon | Radiology | 0n025 Winfield Rd, Winfield, IL 60190-1237 | 2006-12-06 |
| 1114006145 | John Clifford Treanor | Radiology | 25 North Winfield Road, Winfield, IL 60190 | 2006-11-02 |
| 1700804259 | Radiology Associates of Alabama PC | Radiology | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2006-07-17 |
| Find all providers in WINFIELD | ||||
Please comment or provide details below to improve the information on MARK 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.