DR. KELSEY MANN GRADWOHL MD
NPI 1568042521
Dermatology in Chicago, IL

Active since April 13, 2021PECOS Enrolled
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1611 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelsey Mann Gradwohl Md NPPES

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

DR. KELSEY MANN GRADWOHL MD (NPI 1568042521) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (125-079923) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568042521
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KELSEY MANN GRADWOHLCredential: MD
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address5841 S. Maryland Ave M/c 5067Chicago, IL 60637-1443 · (773) 702-1611 · Fax (773) 834-7071
Sole ProprietorYes
Enumeration DateApril 13, 2021
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1568042521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 125-079923
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

5841 S MARYLAND AVE, Chicago, IL 60637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kelsey Mann Gradwohl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Pharmacist (Pharmacotherapy)
5841 S MARYLAND AVE, MC 5026
CHICAGO, IL 60637
Dietitian, Registered
5841 S MARYLAND AVE
CHICAGO, IL 60637
Emergency Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pharmacist (Pharmacotherapy)
5841 S MARYLAND AVE, UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO, IL 60637
Genetic Counselor, MS
5841 S MARYLAND AVE, MC 6088
CHICAGO, IL 60637
Genetic Counselor, MS
5841 S MARYLAND AVE, MC 0077
CHICAGO, IL 60637
Surgery
5841 S MARYLAND AVE, MC 5031
CHICAGO, IL 60637
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5841 S MARYLAND AVE, MC1027
CHICAGO, IL 60637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568042521, enumerated as an "individual" on April 13, 2021.

The provider is located at 5841 S MARYLAND AVE CHICAGO, IL 60637 and the phone number is (773) 702-1611.

Dermatology with taxonomy code 207N00000X.