Kelly Coderre
Kelly Coderre is a Physician Assistant in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 8
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
1500 S Fairfield AveChicago, IL 60608-1782
Phone: (773) 542-2000
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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 085.006717 (IL) |
|---|
Record details
| NPI number | 1235601113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 17, 2018 |
| Last updated in NPPES | December 17, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Osf Multi-Specialty Group — 2128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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