Individual
CAITLIN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 933-6550
(847) 933-6260
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003558
IL
363AS0400X
Surgical Physician Assistant
Primary
085003558
IL
Other
Enumeration date
10/23/2009
Last updated
02/26/2026
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