Mr Eric Kelley, MD is a medicare enrolled "Internal Medicine" physician in Broadview, Illinois. His current practice location is
2215 17th Ave, Broadview, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 344-7171.
Mr Eric Kelley is licensed to practice in Illinois (license number 3657671) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134102346.
Physician's Profile
Full Name | Mr Eric Kelley |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2215 17th Ave, Broadview, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Eric Kelley attended and graduated from in
NPI Data:
- NPI Number: 1134102346
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 02/10/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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
enrolled with medicare and thus, if eligible, can 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 |
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