| Eric Kelley, M.d.,s.c. | |
|
2215 South 17th Avenue Broadview IL 60155-3908 | |
| (708) 344-7171 | |
| (708) 344-0319 |
| Full Name | Eric Kelley, M.d.,s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2215 South 17th Avenue, Broadview, Illinois |
| Authorized Official Name and Position | Eric Kelley (PHYSICIAN) |
| Authorized Official Contact | 7083447171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Kelley, M.d.,s.c. 2215 South 17th Avenue Broadview IL 60155-3908 Ph: (708) 344-7171 | Eric Kelley, M.d.,s.c. 2215 South 17th Avenue Broadview IL 60155-3908 Ph: (708) 344-7171 |
| NPI Number | 1811272388 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811272388 | NPI | - | NPPES |
| 036057671 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036057671 (Illinois) | Primary |
Sct Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 W Roosevelt Rd, Broadview, IL 60155 Phone: 216-398-0349 |