Michael James Keller
Pulmonary Disease Critical Care Medicine
800 Biesterfield Rd Suite 510
Elk Grove Village
, Illinois 60007-3361
Michael James Keller
Pulmonary Disease Critical Care Medicine
800 Biesterfield Rd Suite 510
Elk Grove Village
, Illinois 60007-3361
(319) 400-1305
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Michael James Keller
- 1269 N Wolcott Ave Apt 2r
- Chicago, IL
- Zip : 60622-3895
- Phone : (319) 400-1305
Second Address
- Michael James Keller
- 800 Biesterfield Rd Suite 510
- Elk Grove Village, IL
- Zip : 60007-3361
- Fax : (847) 956-5108
- Phone : (847) 981-3660
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 036123136 | IL |
| Y | 207RP1001X | Pulmonary Disease | 036123136 | IL |
National Provider Identifier
| NPI | 1013164086 |
|---|---|
| Provider Name | Michael James Keller |
| First Address | Chicago, IL 60622-3895 |
| Second Address | Elk Grove Village, IL 60007-3361 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2008 |
| Last Update Date | 05/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036134102 | (05) | IL |
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.