Eric Kelley is a Internal Medicine in Broadview, Illinois. Eric Kelley practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Eric Kelley is 1134102346. The last update date is 2010-02-10.
Eric Kelley's current location address is 2215 S 17th Ave, Broadview, Illinois. You can contact this provider via phone number 7083447171 and fax number 7083440319. The mailing address for Eric Kelley is 2215 S 17th Ave, Broadview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Kelley |
|---|---|
| Address | 2215 S 17th Ave, Broadview, Illinois |
| Phone Number | 7083447171 |
| Fax Number | 7083440319 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134102346 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
| Address | 2215 S 17th Ave |
|---|---|
| City | Broadview |
| State | Illinois (IL) |
| Post Code | 601554728 |
| Phone Number | 7083447171 |
| Fax Number | 7083440319 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 3657671 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3605761 | IL | -- |
Post Comment/ Review Below
What is the Eric Kelley's unique identification number?
The Eric Kelley has been assigned the NPI (National Provider Identifier) Number 1134102346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Eric Kelley?
The Eric Kelley is physically situated at 2215 S 17Th Ave, in the city of Broadview, state of IL, with the postal code 601554728.
What is Eric Kelley's area of expertise and its corresponding taxonomy classification?
The Eric Kelley's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Eric Kelley receive the assignment of its 1134102346 from the Centers for Medicare & Medicaid Services?
The Eric Kelley was issued its 1134102346 by the Centers for Medicare & Medicaid Services on 2005-11-22.
As of what date was the information regarding Eric Kelley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eric Kelley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-02-10.