Katie Diane Keelin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.014083 Issued in IL

Practice address

3464 N Lincoln Ave
Chicago, IL 60657-1173

Phone

(773) 348-6908

NPI assigned

Dec 12, 2023

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Wellness Revolution Lakeview LLCGroup PAC ID 4486990967, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellness Revolution Lakeview LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1063920916
  Medicare reassignment Care Compare group NPD
• Wellness Revolution Chiropractic & Acupuncture Center

  • Chiropractor
  • Evanston, IL
  • NPI 1710035183
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1760250583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 COMMONWEALTH DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553378503",
            "telephone_number": "952-431-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571173",
            "telephone_number": "773-348-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELIN",
        "first_name": "KATIE",
        "middle_name": "DIANE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Keel- Foster, MSW
• Cynthia Renia Keel
• Emma Keel
• Jared Keele
• Keeler Medical Center SC
• Aoife Keeling, MD
• John D. Keen, MD
• Richard R Keen, M.D., FACS
• Keena Michon LLC
• Kathryn Keenan, PH.D.

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.

Verify at the official NPI Registry.