| Dr Derek Joseph Kelly, MD | |
|
2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500 | |
| (773) 293-3510 | |
| (773) 293-3514 |
| Full Name | Dr Derek Joseph Kelly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 2740 W Foster Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407989106 | NPI | - | NPPES |
| 0031600421 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036063365 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Covenant Hospital | Chicago, IL | Hospital |
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Presence Saint Francis Hospital | Evanston, IL | Hospital |
| Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
| Entity Name | Sauganash Health Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487843496 PECOS PAC ID: 6800052747 Enrollment ID: O20120723000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Joseph Kelly, MD 2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500 Ph: () - | Dr Derek Joseph Kelly, MD 2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500 Ph: (773) 293-3510 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Hunter Kegan Holt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 722 W Maxwell St, Chicago, IL 60607 Phone: 312-996-2901 Fax: 312-996-5181 | |
Ashley Multani, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4177 S Archer Ave, Chicago, IL 60632 Phone: 773-254-2222 |