Michael David Kelleher
Pediatric Critical Care Doctor
2300 Childrens Plaza Box #73
Chicago
, Illinois 60614-3394
Michael David Kelleher
Pediatric Critical Care Doctor
2300 Childrens Plaza Box #73
Chicago
, Illinois 60614-3394
(773) 880-4057
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Michael David Kelleher
- 2300 Childrens Plaza Box #73
- Chicago, IL
- Zip : 60614-3394
- Fax : (773) 880-4057
- Phone : (773) 880-4170
Second Address
- Michael David Kelleher
- 2300 Childrens Plaza Box #73
- Chicago, IL
- Zip : 60614-3394
- Fax : (773) 868-8095
- Phone : (773) 880-3980
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FAQs
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Is Michael David Kelleher accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | IL |
National Provider Identifier
| NPI | 1154495448 |
|---|---|
| Provider Name | Michael David Kelleher |
| First Address | Chicago, IL 60614-3394 |
| Second Address | Chicago, IL 60614-3394 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F62347 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.