Individual provider Active NPI

Tara Kennedy Duffy, PA

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1073198214
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-008371 Issued in IL
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

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 Hospital, Chicago, IL, CCN 140119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-008371ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC Physician Assistant CurrentSince Aug 7, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 7, 2023 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Aug 2, 2021 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Aug 2, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.