Individual
MICHAEL J KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7647
(847) 535-7151
Mailing address
1269 N WOLCOTT AVE APT 2R, CHICAGO, IL 60622-3895
(319) 400-1305
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036123136
IL
207RP1001X
Pulmonary Disease Physician
Primary
036123136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134102
—
IL
Enumeration date
08/21/2008
Last updated
01/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us