Renee Kelly, MHS, CADC, MISA

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Practice address

20550 S Lagrange Rd
Frankfort, IL 60423-1397

Phone

(815) 630-8828

Fax

(708) 720-1030

NPI assigned

Mar 18, 2014

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1134546922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231397",
            "telephone_number": "815-630-8828",
            "fax_number": "708-720-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231397",
            "telephone_number": "815-630-8828",
            "fax_number": "708-720-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MHS, CADC, MISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley N Katzmann, D.C.
• Elaine Kayhan, EDM, OTR/L
• KC Health Horizons, Inc.
• Joseph Edward Kelley, M.D.
• Kelly Accurate Dui Treatment Services, LLC
• Kelly Kerner
• Kiansh Dental LLC
• Kids First Words II, Inc.
• Kimberly Reevas, LLC
• Brian Richard Kincaid, D.C.

• Substance Use Disorder Rehabilitation Clinic/Center in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.