Active NPI
Tara Kennedy Duffy, PA
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-008371
- Practice address
- 259 E Erie St FL 13
Chicago, IL 60611-3926 - Phone
- (312) 695-6800
- Fax
- (312) 472-4872
- NPI assigned
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-008371 | IL | Primary |
Addresses
Primary practice location
259 E Erie St FL 13
Chicago, IL 60611-3926
Mailing address
259 E Erie St FL 13
Chicago, IL 60611-3926
Phone (312) 695-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210916002271 | IL | Practitioner - Physician Assistant | 5193122257 | Reassigns benefits to 2 organizations |
| I20230828001721 | IN | Practitioner - Physician Assistant | 5193122257 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W Harrison St
Chicago, IL 60612-4861
Phone (877) 632-6637
2101 Waukegan Rd
Bannockburn, IL 60015-1836
4700 Gilbert Ave
Suite 51
Western Springs, IL 60558-1664
Phone (708) 387-1750
550 W Ogden Ave
Hinsdale, IL 60521-3186
Phone (630) 323-6116
770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491
9200 Calumet Ave
Munster, IN 46321-2885
Phone (877) 632-6637
9601 Calumet Ave
Munster, IN 46321-2871
Phone (877) 632-6637
Hospital & facility affiliations
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-008371 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Physician Assistant | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
400 S Kennedy Dr
Ste 100
Bradley, IL 60915
Phone (815) 928-8050
1611 W Harrison St
Ste 212
Chicago, IL 60612
Phone (312) 942-4040
5057 Paysphere Cir
Chicago, IL 60674
1611 W Harrison St
Ste 600
Chicago, IL 60612
1611 W Harrison St
Chicago, IL 60612
Phone (312) 243-4244
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116
951 Essington Rd
Joliet, IL 60435
Phone (815) 744-4551
2011 York Rd
Ste 1500
Oak Brook, IL 60523
Phone (708) 492-5630
2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750
4700 Gilbert Ave
Ste 51
Western Springs, IL 60558
Phone (708) 387-1737
1010 Executive Dr
Ste 250
Westmont, IL 60559
Phone (630) 655-8785
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737
Interoperability endpoints
- tara.duffy.1@12576.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IL
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
IL, IN, Physician Assistant
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1073198214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 E ERIE ST FL 13",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113926",
"telephone_number": "312-695-6800",
"fax_number": "312-472-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST FL 13",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113926",
"telephone_number": "312-695-6800",
"fax_number": "312-472-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "TARA",
"middle_name": "KENNEDY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-008371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.