Jennifer Kelly

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1212 N Lasalle St Apt 1505
Chicago, IL 60610-8037

Phone

(708) 476-0142

Fax

(312) 664-7063

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1063533743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N LASALLE ST APT 1505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108037",
            "telephone_number": "708-476-0142",
            "fax_number": "312-664-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N LASALLE ST APT 1505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108037",
            "telephone_number": "708-476-0142",
            "fax_number": "312-664-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kelly, NP
• Elizabeth Kelly, MS, RN, IBCLC
• Ella Kelly, RN
• Erin Lynn Kelly, LSW
• Jeannette Suzanne Codere Kelly, D.O.
• Jennifer Kelly, MSN, APRN, FNP-BC
• Jennifer Ann Kelly, LCSW
• Joanna Katarzyna Kelly, M.D.
• John J Kelly, DDS
• Jonathan Richard Kelly, M.D.

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.