Individual
STEPHEN M KELANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
2040 OGDEN AVE STE 401, AURORA, IL 60504-7208
(630) 978-6895
(630) 375-2905
Mailing address
2040 OGDEN AVE STE 401, AURORA, IL 60504-7208
(630) 978-6895
(630) 375-2905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036099831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017903
RAIL ROAD MEDICARE
IL
01
—
4506907
BLUE CROSS BLUE SHIELD
IL
05
—
H08942
—
IL
Enumeration date
07/19/2006
Last updated
11/05/2024
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