| Kevin V Kelly, MD | |
|
2040 Ogden Ave, Suite 300, Aurora, IL 60504-7206 | |
| (630) 978-6770 | |
| (630) 978-6773 |
| Full Name | Kevin V Kelly |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 27 Years |
| Location | 2040 Ogden Ave, Aurora, 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 |
|---|---|---|---|
| 1356305882 | NPI | - | NPPES |
| 200036820A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036129046 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush-copley Medical Group Nfp | 7618864877 | 101 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Rush-copley Medical Group Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093075848 PECOS PAC ID: 7618864877 Enrollment ID: O20040310001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin V Kelly, MD 1256 Waterford Drive, Suite 230, Aurora, IL 60504 Ph: (630) 499-2404 | Kevin V Kelly, MD 2040 Ogden Ave, Suite 300, Aurora, IL 60504-7206 Ph: (630) 978-6770 |
Dr. Dmitry Sergei Ruban, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave, Suite 300, Aurora, IL 60504 Phone: 630-978-6770 Fax: 630-978-6773 | |
Fred Geisler, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2020 Ogden Ave, Suite 335, Aurora, IL 60504 Phone: 630-236-4303 Fax: 630-236-4317 |