OrganizationActive
Dr Mary Kelly
NPI 1164683157 · Family Medicine Physician · River Forest, IL
Provider details
- NPI number
- 1164683157
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Kelly, Owner(708) 848-0040
- License
- 036077560 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7319 North Ave
River Forest, IL 60305-1220
Phone: (708) 848-0040
Street-level locationGet directions
Mailing address
7319 North Ave
River Forest, IL 60305-1220
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.