Individual
JOSEPH J KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-1257
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-8107
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036127075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253779600
—
FL
01
—
370010629
RAILROAD MEDICARE
—
01
—
42928
BCBS
FL
Enumeration date
06/02/2006
Last updated
01/06/2022
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