Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY CODERRE
ActiveKELLY CODERRE is a Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1235601113 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1235601113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2018 (7.632368241847 yrs)
- Last Updated
- Dec 17, 2018
- License
-
085.006717 (IL)
Practice Information
- Address
-
1500 S FAIRFIELD AVECHICAGO, IL, 606081782Browse IL providers · Browse ZIP 60608
- Phone
- 7735422000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANDRIKA SHAH | PA | 1114928884 |
| JACK C. ENTER JR. | PA-C | 1366444184 |
| CASEY ANN MORAN | PA-C | 1740277441 |
| MS. SHANNON J HOBBS | PA-C | 1902893043 |
| MS. HONG HOLLY ZHANG | PA-C | 1609863620 |
| JENNIFER A CENTORE-LOBER | PA C | 1932198322 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.