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KELLY MARIE CARUSO PA-C
NPI 1336214782
Physician Assistant in Olympia Fields, IL

Active since November 21, 2006
20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461(708) 283-2600(708) 833-7248 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2021, Mar 23, 2017 (2 updates tracked since 2017).

About Kelly Marie Caruso Pa-c NPPES

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

KELLY MARIE CARUSO PA-C (NPI 1336214782) is an individual physician assistant in Olympia Fields, Illinois, licensed in Illinois (085-002871) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1336214782
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE CARUSOCredential: PA-C
Location Address20060 GOVERNORS DR STE 300Olympia Fields, IL 60461-1099
Mailing Address20060 Governors Dr Ste 300Olympia Fields, IL 60461-1099 · (708) 283-2600 · Fax (708) 833-7248
Phone(708) 283-2600
Fax(708) 833-7248
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1336214782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-002871
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20060 GOVERNORS DR STE 300, Olympia Fields, IL 60461
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHLAND ORTHOPAEDICS LTD
Orthopaedic Surgery
20060 GOVERNORS DR STE 300
OLYMPIA FIELDS, IL 60461
Cook County (708) 283-2600
VEENA NAYAK MD SC
Internal Medicine (Rheumatology)
20060 GOVERNORS DR STE 300
OLYMPIA FIELDS, IL 60461
Cook County (708) 283-2600

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 Kelly Caruso's NPI number?

The NPI number for Kelly Caruso is 1336214782. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Kelly Caruso located?

Kelly Caruso practices at 20060 Governors Dr Ste 300, Olympia Fields, IL 60461. The listed phone number is (708) 283-2600.

What is Kelly Caruso's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Caruso was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.