Derek Joseph Kelly in Chicago - Family Medicine
Derek Joseph Kelly - NPI 1407989106
Derek Joseph Kelly is a Family Medicine in Chicago, Illinois. Derek Joseph Kelly practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Derek Joseph Kelly is 1407989106. The last update date is 2007-07-08.
Derek Joseph Kelly's current location address is 2740 W Foster Ave, Chicago, Illinois. You can contact this provider via phone number 7732933510 and fax number 7732933514. The mailing address for Derek Joseph Kelly is 2740 W Foster Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Joseph Kelly |
|---|---|
| Address | 2740 W Foster Ave, Chicago, Illinois |
| Phone Number | 7732933510 |
| Fax Number | 7732933514 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407989106 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2740 W Foster Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606253500 |
| Phone Number | 7732933510 |
| Fax Number | 7732933514 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36063365 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31600421 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Derek Joseph Kelly by the Centers for Medicare & Medicaid Services?
The Derek Joseph Kelly has been assigned the NPI (National Provider Identifier) 1407989106 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Derek Joseph Kelly is physically located?
The Derek Joseph Kelly is physically situated at the following address: 2740 W Foster Ave, Chicago, IL, 606253500.
What is Derek Joseph Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek Joseph Kelly is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407989106 to Derek Joseph Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1407989106 to Derek Joseph Kelly on 2007-03-13.
As of what date were the Derek Joseph Kelly's details last updated?
The information pertaining to the Derek Joseph Kelly, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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