Individual
DYMPNA M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC5026, CHICAGO, IL 60637-1443
(773) 702-1061
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1061
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036142636
IL
208600000X
Surgery Physician
35086230
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691207
—
OH
Enumeration date
08/30/2006
Last updated
02/06/2019
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