Mr Eric Kelley, MD is a
Internal Medicine physician based in Broadview, Illinois. Mr Eric Kelley is licensed to practice in Illinois (license number 3657671) and his current practice location is 2215 17th Ave, Broadview, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 344-7171.
NPI number for Mr Eric Kelley is 1134102346 and his current mailing address is 2215 S 17th Ave, Broadview, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134102346.
Physician's Profile
| Full Name | Mr Eric Kelley |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 2215 17th Ave, Broadview, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134102346
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 02/10/2010
Medical Identifiers
Medical identifiers for Mr Eric Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134102346 | NPI | - | NPPES |
| 03605761 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 3657671 (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. Mr Eric Kelley 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 |
Mr Eric Kelley, MD 2215 S 17th Ave, Broadview, IL 60155-4728 Ph: (708) 344-7171 | Mr Eric Kelley, MD 2215 17th Ave, Broadview, IL 60155-4728 Ph: (708) 344-7171 |
Reviews and Comments