Active NPI
Kehoe & Djordjevic S.C.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KEHOE & DJORDJEVIC S.C.
- Practice address
- 1725 W Harrison St
Suite 106
Chicago, IL 60612-3841 - Phone
- (312) 942-3798
- NPI assigned
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William R Kehoe, M.D.
- Title
- MD/Partner
- Phone
- (312) 942-3798
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 106
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St
Suite 320
Chicago, IL 60612-3841
Phone (312) 942-3775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1078323 | Kehoe & Djordjevic S C | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
1725 W Harrison St
Ste 106
Chicago, IL 60612
Phone (312) 666-2225
718 N York Rd
Hinsdale, IL 60521
Phone (312) 432-2850
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1285669457
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1518992783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1073769261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-3798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEHOE & DJORDJEVIC S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-07",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "KEHOE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD/PARTNER",
"authorized_official_telephone_number": "312-942-3798",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"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 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.