Individual
CHAD MICHAEL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2650 RIDGE AVE., BURCH 100, CARDIAC SURGERY DIVISION, EVANSTON, IL 60201
(847) 570-2859
(847) 570-2899
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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