Eileen A Kelly, M.D.

Internal Medicine, Cardiovascular Disease in Lake Forest, IL. Individual provider (NPI-1).

NPI number1720179583

StatusActive

Last updated in NPPESAug 19, 2022

Details

NPI: 1720179583
Entity type: Individual (NPI-1)
Name: Eileen A Kelly
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Sep 27, 2006
Certification date: Aug 19, 2022
Last updated: Aug 19, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	036109019	IL	Yes

Practice location

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Phone 847-534-3278 · Fax 847-535-8590

Mailing address

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Phone 847-534-3278 · Fax 847-535-8590

Other practice locations

2050 Pfingsten Rd
Suite 360
Glenview, IL 60026-1324

Phone 847-657-1819 · Fax 847-657-1898

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Cardiovascular Disease Physician providers in Lake Forest, IL

All 8 Cardiovascular Disease Physician providers in Lake Forest · All 978 providers in Lake Forest

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