Dr Mary Kelly in River Forest - Family Medicine
Dr Mary Kelly - NPI 1164683157
Dr Mary Kelly is a Family Medicine in River Forest, Illinois. Dr Mary Kelly practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dr Mary Kelly is 1164683157. The last update date is 2008-06-23.
Dr Mary Kelly's current location address is 7319 North Ave, River Forest, Illinois. You can contact this provider via phone number 7088480040. The mailing address for Dr Mary Kelly is 7319 North Ave, River Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Mary Kelly |
|---|---|
| Address | 7319 North Ave, River Forest, Illinois |
| Phone Number | 7088480040 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kelly Mary |
| Telephone Number | 7088480040 |
NPI Number Detail
| NPI Number | 1164683157 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 7319 North Ave |
|---|---|
| City | River Forest |
| State | Illinois (IL) |
| Post Code | 603051220 |
| Phone Number | 7088480040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36077560 |
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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 |
|---|---|---|---|
| 36077560 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dr Mary Kelly by the Centers for Medicare & Medicaid Services?
The Dr Mary Kelly has been assigned the NPI (National Provider Identifier) 1164683157. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dr Mary Kelly?
The Dr Mary Kelly is situated at 7319 North Ave, in the city of River Forest, state of IL, with the zip code 603051220.
What is Dr Mary Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dr Mary Kelly's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164683157 to Dr Mary Kelly?
The Centers for Medicare & Medicaid Services assigned the 1164683157 to Dr Mary Kelly on 2008-06-23.
As of what date were the details related to Dr Mary Kelly most recently updated or revised?
The information pertaining to Dr Mary Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-23.