MARY LOUISE KELLY D.O.
NPI 1912087560
Family Medicine in Oak Park, IL

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1912087560. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly 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.

Active since October 17, 2006PECOS Enrolled

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.

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About Mary Louise Kelly D.o. NPPES

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

MARY LOUISE KELLY D.O. (NPI 1912087560) is an individual family medicine provider in Oak Park, Illinois, licensed in Illinois (036077560) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912087560

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY LOUISE KELLYCredential: D.O.

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

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateDecember 18, 2013

✔ NPI 1912087560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036077560

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1125 WESTGATE ST, Oak Park, IL 60301

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Other Identifiers 4

Medicare UPIND89609

Other01625396Blue Cross

Other2027403Aetna

Medicaid362182170IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Louise Kelly D.o. 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 60301 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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 5

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

DR. MARK CAVALENES M.D.

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