| Dr Kelley Oralivia Holloway - Marshall, | |
|
2003 W Fulton St Ste 303, Chicago, IL 60612-2345 | |
| (312) 243-2223 | |
| (312) 243-2227 |
| Full Name | Dr Kelley Oralivia Holloway - Marshall |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 16 Years |
| Location | 2003 W Fulton St Ste 303, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942593231 | NPI | - | NPPES |
| 100048065 | Medicaid | WI | |
| P01725310 | Other | IN | RAILROAD MEDICARE |
| 201168580 | Medicaid | IN | |
| P01703698 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005544 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07001151A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| We Heel The Sole Podiatry Llc | 0648579243 | 2 |
| Provider Name | Onhealthcare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417220369 PECOS PAC ID: 8527221480 Enrollment ID: O20120514000325 |
| Provider Name | We Heel The Sole Podiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457713406 PECOS PAC ID: 0648579243 Enrollment ID: O20160503002511 |
| Provider Name | Md @ Home Illinois, Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568758415 PECOS PAC ID: 7810167830 Enrollment ID: O20210625001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley Oralivia Holloway - Marshall, 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 Ph: (312) 243-2223 | Dr Kelley Oralivia Holloway - Marshall, 2003 W Fulton St Ste 303, Chicago, IL 60612-2345 Ph: (312) 243-2223 |
Dr. Kevin Paul Malone, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1715 E 95th St, Chicago, IL 60617 Phone: 773-768-4437 Fax: 773-564-3515 | |
Chicago Foot Clinic, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2801 W Cermak Rd, Chicago, IL 60623 Phone: 773-376-7200 Fax: 773-376-9211 | |
Darla Thomas, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1706 E 87th St, Chicago, IL 60617 Phone: 773-374-5300 | |
Dr. Petrina Chino, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-2245 | |
Dr. Marwan Zayed, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3631 N Harlem Ave, Chicago, IL 60634 Phone: 773-725-2953 Fax: 773-725-2932 | |
Michael Stefan Williams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2752 N Southport Ave, Chicago, IL 60614 Phone: 773-327-0006 | |
Chicago Foot & Ankle Deformity Correction Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 60 E Delaware Pl, Suite 1480, Chicago, IL 60611 Phone: 312-355-3939 |