IndividualActive
Destiny Kellam, MD
NPI 1033853650 · Hospice and Palliative Medicine (Emergency Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1033853650
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036.174599 (IL)
Specialties & taxonomies
- Hospice and Palliative Medicine (Emergency Medicine) PhysicianPrimary207PH0002XLicense 036.174599 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5841 S Maryland Ave Ste Mc6098
Chicago, IL 60637-1448
Phone: (855) 702-8222
Approximate (ZIP-level) locationGet directions
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Additional practice locations (1)
- 2320 E 93rd StChicago, IL 60617-3909Phone: (773) 967-5430Fax: (773) 967-4205
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.