Sarah Kelley
Physician Assistant

Address: 1111 W Diversey Pkwy, Chicago, IL 60614-1318
Phone: 7732705600

Sarah Kelley (NPI# 1982208609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1982208609
Entity Type Individual
Full Name Sarah Kelley
Credential PA
Gender Female
Practice Address 1111 W Diversey Pkwy
IL 60614-1318
Practice Telephone 7732705600
Practice Fax Number 7733607378
Mailing Address 730 S Clark St Apt 505
IL 60605-1746
Mailing Telephone 5136092850
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-11-23
Last Update Date 2020-11-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 085008056 IL

Secondary Practice Locations

Address Telephone Number Fax Number
2400 N Ashland Ave, Chicago, IL 606142021 7732705600 7733607378

Providers with the same name

NPI Name Taxonomy Address Enumeration
1265902902 Sarah Richele Kelley Specialist/Technologist 10236 Alder Grovey Way, South Jordan, UT 84095 2018-11-26
1457601726 Sarah Anne Kelley Counselor 14 Scrabble Rd, Brentwood, NH 03833-6024 2012-09-14
1679762454 Sarah Casey Kelley Audiologist 885 South Parsons Ave, All Children's Outpatient Care, Brandon, FL 33511 2007-10-17
1477163749 Sarah Louise Kelley Registered Nurse 1400 8th Ave, Fort Worth, TX 76104-4110 2020-08-03
1265040331 Sarah C Kelley Counselor 10 Bridge St, Lowell, MA 01852-1268 2020-07-15
1831695436 Sarah Joy Kelley Student in an Organized Health Care Education/Training Program 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2018-04-03
1821486671 Sarah Kelley Marriage & Family Therapist 1330 Quail Lake Loop, Suite 120, Colorado Springs, CO 80906 2015-01-02
1710395769 Sarah Leigh Kelley Optometrist 115 W Laurel St, Independence, KS 67301-3311 2014-07-22
1700214749 Sarah Kelley Nurse Practitioner 221 Ne Glen Oak Ave, Emergency Dept, Peoria, IL 61636-0001 2013-10-30
1467770081 Sarah Nicole Kelley Case Manager/Care Coordinator 27753 S Welling Rd, Welling, OK 74471-2202 2010-05-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215533989 Emily Stuart Evans Physician Assistant 1433 N Dearborn St Apt 4, Chicago, IL 60610-1500 2020-12-08
1720684699 Alexandra T Fry Physician Assistant 1237 W Wellington Ave Apt 1, Chicago, IL 60657-6759 2020-12-07
1902401375 Patricia Maloney Physician Assistant 4534 N Kenneth Ave Apt 2, Chicago, IL 60630-4563 2020-12-02
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
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Office Location

Street Address 1111 W DIVERSEY PKWY
State IL
Zip Code 60614-1318

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124623749 Lindsey Landgraf Nurse Practitioner 1111 W Diversey Pkwy, Chicago, IL 60614-1318 2020-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487266516 Taylor Connington Pharmacist 843 W Armitage Ave, Chicago, IL 60614 2020-08-19
1356975692 Amarilis Diaz Social Worker Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 2020-02-25
1457902975 Michele Waggoner Physical Therapist 2515 N. Clark St, Chicago, IL 60614 2019-09-25
1669031936 Justin Pomeroy Acupuncturist 1350 W. Schubert Ave., Chicago, IL 60614 2019-06-11
1801451547 Amanda Harris Counselor 2451 N Lincoln Ave # 206, Chicago, IL 60614 2019-05-08
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1841707353 Madison Counseling Solutions LLC Social Worker 2502 N. Clark St., Chicago, IL 60614 2018-01-05
1386154011 Allison Cooper Boyan Occupational Therapist 1640 N. Wells St., Unit 103, Chicago, IL 60614 2017-10-09
1245759653 Eileen Davidson Siegel Physician Assistant 2073 N. Clybourn Ave., Chicago, IL 60614 2017-09-18
1447779814 Elizabeth Hobart Psychologist 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 2017-09-16
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Zip Code 60614

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Dataset Information

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.