Dr Patricia Ann Kelleher, MD is a
Preventive Medicine - Occupational Medicine physician based in Evanston, Illinois. Dr Patricia Ann Kelleher is licensed to practice in Illinois (license number 036-088048) and her current practice location is 2606 Grant St, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 475-7041.
NPI number for Dr Patricia Ann Kelleher is 1871518191 and her current mailing address is 1901 W Harrison St, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871518191.
Physician's Profile
Full Name | Dr Patricia Ann Kelleher |
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Gender | Female |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 2606 Grant St, Evanston, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871518191
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 08/10/2020
Medical Identifiers
Medical identifiers for Dr Patricia Ann Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871518191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 36-088048 (Illinois) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 036-088048 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Patricia Ann Kelleher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Patricia Ann Kelleher, MD 1901 W Harrison St, Chicago, IL 60612-3714 Ph: (312) 864-4665 | Dr Patricia Ann Kelleher, MD 2606 Grant St, Evanston, IL 60201-2112 Ph: (847) 475-7041 |
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