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Individual
BRETT L. KELLER
Active
Individual
BRETT L. KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036110898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0361100898
OSF CARE ADVANTAGE
IL
01
—
036110898
OSF CARE PREFERRED
IL
05
—
036110898 1
—
IL
01
—
1302850001
ADMINISTAR FEDERAL
IL
01
—
133229700
US DEPARTMENT OF LABOR
IL
01
—
5715378
BLUE CROSS BLUE SHIELD
IL
01
—
678434
HEALTHLINK
IL
01
—
IL0103
JOHN DEERE HEALTH
IL
01
—
P00200415
MEDICARE METRAHEALTH
IL
Enumeration date
07/27/2006
Last updated
10/04/2022
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