Individual
KELLY KAY OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
(872) 588-3021
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
(872) 588-3021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-004230
IL
363A00000X
Physician Assistant
Primary
085004230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004230
STATE LICENSE
IL
01
—
1101248
SPECIALTY BOARDS
IL
01
—
385003022
CS LICENSE
IL
Enumeration date
11/29/2011
Last updated
03/07/2023
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