Noreen B Keleher, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2320 High St
Blue Island, IL 60406-2426

Phone

(708) 388-5500

Fax

(708) 226-7174

NPI assigned

Jun 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Noreen B Conniff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1497983928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HIGH ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062426",
            "telephone_number": "708-388-5500",
            "fax_number": "708-226-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGH ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062426",
            "telephone_number": "708-388-5500",
            "fax_number": "708-226-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELEHER",
        "first_name": "NOREEN",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOREEN",
            "last_name": "CONNIFF",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seth Kaplan, M.D.
• Katie Karner
• Sandra Kawczynski
• Kaz Community Develpoment
• Amanda Keenan, LCSW
• Erin Marie Kelly, LCPC
• Meghan Kelly, LCSW
• Sundoz Kesbeh, DDS
• Mohammed Khan, M.D.
• Sheba Sarwat Khan, D.D.S.

• Physician Assistant in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.