IndividualActive
Daniel Kelley, MD
NPI 1912437187 · Sports Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1912437187
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ML60770434 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
680 N Lake Shore Dr Ste 924
Chicago, IL 60611-8701
Phone: (847) 866-7846
Approximate (ZIP-level) locationGet directions
Mailing address
680 N Lake Shore Dr Ste 924
Chicago, IL 60611-8701
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2021-06-28
- Certified
- 2021-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.