Individual provider Active NPI

Anthony Kelley, DC

  • Rehabilitation Chiropractor
  • Chicago, IL
National Provider Identifier
1508343948
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038013249 Issued in IL
Practice address
1600 S Indiana Ave Ste 2
Chicago, IL 60616-4733
Phone
(312) 922-9868
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038013249 IL Primary

Addresses

Primary practice location

1600 S Indiana Ave Ste 2
Chicago, IL 60616-4733

Mailing address

1600 S Indiana Ave Ste 2
Chicago, IL 60616-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Body Chiropractic LTD Rehabilitation CurrentSince Jul 22, 2021 Accepting new patients
Totum Health PLLC Current Accepting new patients
Active Wellness, LLC CurrentSince Jun 14, 2024 Accepting new patients
Active Wellness LLC CurrentSince Jun 14, 2024 Accepting new patients

Locations

215 W Superior St
Chicago, IL 60654
Phone (773) 906-5600

1335 S Michigan Ave
Chicago, IL 60605
Phone (312) 216-2420

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

2514 N Milwaukee Ave
Chicago, IL 60647
Phone (312) 216-2452

560 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 328-8153

3514 N Southport Ave
Chicago, IL 60657
Phone (773) 248-2544

1600 S Indiana Ave
Ste 2
Chicago, IL 60616
Phone (312) 922-9868

134 N York St
Elmhurst, IL 60126
Phone (331) 462-1167

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.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1508343948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S INDIANA AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S INDIANA AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164733",
            "telephone_number": "312-922-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038013249",
            "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 Jul 27, 2018; 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.