2160 S 1ST AVE
MAYWOOD, IL 60153-3328 US PECOS Enrolled
Elizabeth M Kelly
Nurse Practitioner (Family)
- MAYWOOD, IL
- Phone: (708)-216-9000
- Last Updated 11/29/2022
Overview
Elizabeth M Kelly is a Nurse Practitioner (Family) in the MAYWOOD area and has over 13 years of experience. Elizabeth M Kelly primary office location is at 2160 S 1ST AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2011
Elizabeth M Kelly is affiliated with one hospital in the MAYWOOD area, LOYOLA UNIVERSITY MEDICAL CENTER. The NPI number is 1972873735 and the information was updated approximately 2 years ago.
Elizabeth M Kelly is affiliated with one medical group in the MAYWOOD area, LOYOLA UNIVERSITY MEDICAL CENTER.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 209009226 | IL |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Family) - Taxonomy Code 363LF0000X | IL | Y |
| Licensed Practical Nurse - Taxonomy Code 164W00000X | IL | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20120209000351 |
| PECOS Individual PAC ID: | 7315104999 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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