Eric Kelley, M.d.,s.c. | |
2215 South 17th Avenue Broadview IL 60155-3908 | |
(708) 344-7171 | |
(708) 344-0319 |
Full Name | Eric Kelley, M.d.,s.c. |
---|---|
Speciality | Internal Medicine |
Location | 2215 South 17th Avenue, Broadview, Illinois |
Authorized Official Name and Position | Eric Kelley (PHYSICIAN) |
Authorized Official Contact | 7083447171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eric Kelley, M.d.,s.c. 2215 South 17th Avenue Broadview IL 60155-3908 Ph: (708) 344-7171 | Eric Kelley, M.d.,s.c. 2215 South 17th Avenue Broadview IL 60155-3908 Ph: (708) 344-7171 |
NPI Number | 1811272388 |
---|---|
Provider Enumeration Date | 10/17/2011 |
Last Update Date | 10/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811272388 | NPI | - | NPPES |
036057671 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036057671 (Illinois) | Primary |
Sct Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 W Roosevelt Rd, Broadview, IL 60155 Phone: 216-398-0349 |