Individual provider Active NPI

Kelli Jo McConnehey, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1598140071
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005524 Issued in IL
Practice address
355 E Erie St
Chicago, IL 60611-3167
Phone
(312) 238-1000
Fax
(312) 238-1417
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 085005524 IL Primary

Addresses

Primary practice location

355 E Erie St
Chicago, IL 60611-3167

Mailing address

355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-1000

Other names 1

  • Kelli Jo Bjornrud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001912 IL Practitioner - Physician Assistant 8426359753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

516 S Loomis St
Chicago, IL 60607-2812
Phone (312) 942-5000

600 S Paulina St
Suite 140
Chicago, IL 60612-3806
Phone (312) 942-5865

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
085005524ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Rush University Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Sep 1, 2016 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Sep 1, 2016 Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

75 Remittance Dr
Dept 1611
Chicago, IL 60675

3435 W Van Buren St
Fl 5
Chicago, IL 60624
Phone (773) 265-5050

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

516 S Loomis St
Chicago, IL 60607
Phone (717) 975-6402

1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500

600 S Paulina St
Ste 140
Chicago, IL 60612
Phone (312) 942-5865

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

610 S Maple Ave
Ste 2900
Oak Park, IL 60304
Phone (708) 383-0088

Organizations & group practices 5

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 6

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1598140071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113167",
            "telephone_number": "312-238-1000",
            "fax_number": "312-238-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113167",
            "telephone_number": "312-238-1000",
            "fax_number": "312-238-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNEHEY",
        "first_name": "KELLI",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "BJORNRUD",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.