IndividualActive
Anisa Kelley, MD
NPI 1740607688 · Pediatric Neurodevelopmental Disabilities Physician · Chicago, IL
Provider details
- NPI number
- 1740607688
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036.149631 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
225 E Chicago Ave
Chicago, IL 60611
Phone: (312) 227-3550
Approximate (ZIP-level) locationGet directions
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Additional practice locations (1)
- 757 Westwood PlzLos Angeles, CA 90095-7419Phone: (310) 267-9129
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.