Breanna Elizabeth-Howe Kellogg
Breanna Elizabeth-Howe Kellogg is a Physician Assistant in Maywood, Illinois. Qualified in 2015, 11 years ago. Practices with Rush University Medical Group, a 1,499-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.
- Years since qualifying
- 11
- Licensed in
- IL, MI
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
2160 S 1st AveMaywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085006681 (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 363A00000X (MI) |
Record details
| NPI number | 1912376856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 22, 2015 |
| Last updated in NPPES | May 21, 2022 |
| Certification date | May 21, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Rush University Medical Group — 1499 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Maywood
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MS. Lindsay Blazek, PA-C
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-9000
-
Anamaria Danielle Edwards, PA-C
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 327-2449
-
Nilufar Jalali, PA-C
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-9000
-
Madison Lozanoski
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-9000
-
Gianna Mladenova, PA
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-9000
-
Harshi Kalpana Perera, PA
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-9000
-
Kaylee Perez, PA-C
2160 S 1st Ave, Maywood, IL 60153-3328 · (708) 216-9000