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MARY L. KELLY, D.O., S.C.
NPI 1649573882
Clinic/Center - Primary Care in Oak Park, IL

Active since December 09, 2010
1125 WESTGATE ST, OAK PARK, IL 60301(708) 848-0040(708) 848-2931 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary L. Kelly, D.o., S.c. NPPES

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

MARY L. KELLY, D.O., S.C. (NPI 1649573882) is a healthcare organization registered as a primary care in Oak Park, Illinois and active in the NPI registry since December 2010. The organization lists Mary Louise Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1649573882
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARY L. KELLY, D.O., S.C.
Location Address1125 WESTGATE STOak Park, IL 60301-1007
Mailing Address1125 Westgate StOak Park, IL 60301-1007 · (708) 848-0040 · Fax (708) 848-2931
Phone(708) 848-0040
Fax(708) 848-2931
Organization SubpartNo
Authorized OfficialMary Louise KellyPresident · (708) 848-0040
Enumeration DateDecember 9, 2010
Last NPPES UpdateDecember 18, 2013
✔ NPI 1649573882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036077560
1125 WESTGATE ST, Oak Park, IL 60301
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Other Providers at the Same Location NPPES 5

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

DR. MARK CAVALENES M.D.
Orthopaedic Surgery
1125 WESTGATE ST
OAK PARK, IL 60301
Cook County (708) 848-7700
WESTGATE ORTHOPAEDICS, LTD.
Orthopaedic Surgery
1125 WESTGATE ST
OAK PARK, IL 60301
Cook County (708) 848-7700
RIVER FOREST MEDICAL CENTER INCORPORATED
Family Medicine
1125 WESTGATE ST
OAK PARK, IL 60301
Cook County (708) 848-0040
MARY LOUISE KELLY D.O.
Family Medicine
1125 WESTGATE ST
OAK PARK, IL 60301
Cook County (708) 848-0040
DR. EDWARD BOONE BRACKETT III M.D.
Orthopaedic Surgery
1125 WESTGATE ST
OAK PARK, IL 60301
Cook County (708) 848-7700

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 Mary L. Kelly, D.O., S.C.'s NPI number?

The NPI number for Mary L. Kelly, D.O., S.C. is 1649573882. It was assigned to this organization in the NPPES registry on December 9, 2010.

Where is Mary L. Kelly, D.O., S.C. located?

Mary L. Kelly, D.O., S.C. is located at 1125 Westgate St, Oak Park, IL 60301. The listed phone number is (708) 848-0040.

What is Mary L. Kelly, D.O., S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mary L. Kelly, D.O., S.C. was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.