KEHOE & DJORDJEVIC S.C.
NPI 1073769261
Internal Medicine in Chicago, IL

Active since August 07, 2008CLIA 14D1078323 · Waiver
1725 W HARRISON ST, SUITE 106, CHICAGO, IL 60612(312) 942-3798 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kehoe & Djordjevic S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEHOE & DJORDJEVIC S.C. (NPI 1073769261) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists William R Kehoe, Md/partner, as its authorized official.

NPPES Registry Identity

NPI1073769261
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEHOE & DJORDJEVIC S.C.
Location Address1725 W HARRISON ST, SUITE 106Chicago, IL 60612-3841
Mailing Address1725 W Harrison St, Suite 320Chicago, IL 60612-3841 · (312) 942-3775
Organization SubpartNo
Authorized OfficialWilliam R KehoeMd/partner · (312) 942-3798
Enumeration DateAugust 7, 2008
✔ NPI 1073769261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1725 W HARRISON ST, Chicago, IL 60612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kehoe & Djordjevic S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kehoe & Djordjevic S.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1285669457
1725 W HARRISON SUITE 318
Chicago, IL 60612
(312) 942-6647
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1518992783
1725 W HARRISON SUITE 318
Chicago, IL 60612
(312) 942-6647
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1078323

Kehoe & Djordjevic S C · Chicago, IL
Active · expires Jan 7, 2028
CLIA Number14D1078323
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorDragan Djordjevic MD
Laboratory Phone(312) 942-3798
Laboratory LocationKehoe & Djordjevic S C1725 W Harrison, Suite 106, Chicago, IL 60612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kehoe & Djordjevic S.C.'s NPI number?

The NPI number for Kehoe & Djordjevic S.C. is 1073769261. It was assigned to this organization in the NPPES registry on August 7, 2008.

Where is Kehoe & Djordjevic S.C. located?

Kehoe & Djordjevic S.C. is located at 1725 W Harrison St Suite 106, Chicago, IL 60612. The listed phone number is (312) 942-3798.

What is Kehoe & Djordjevic S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kehoe & Djordjevic S.C. enrolled in Medicare?

Yes. Kehoe & Djordjevic S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kehoe & Djordjevic S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Kehoe & Djordjevic S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kehoe & Djordjevic S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1078323) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kehoe & Djordjevic S.C. was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.