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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY MARIE CARUSO, PA-C

Active

KELLY MARIE CARUSO, PA-C is a Physician Assistant healthcare provider located in OLYMPIA FIELDS, Illinois. NPI 1336214782 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OLYMPIA FIELDS, IL

Registration Details

NPI Number
1336214782
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2006 (19.72707795066 yrs)
Last Updated
Dec 23, 2021
License
085-002871 (IL)

Practice Information

Address
20060 GOVERNORS DR STE 300
OLYMPIA FIELDS, IL, 604611099
Browse IL providers · Browse ZIP 60461
Phone
7082832600
Fax
7088337248
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OLYMPIA FIELDS, IL

Name Credential NPI
LORI JEAN WILLIAMS PA-C 1881762540
MR. DON T MARTINEZ JR. BSW, MMS, PA-C 1598949760
EAMMON ESTEGHAMAT PA-C 1679904874
SADE WRIGHT PA 1073107256
MS. SYDNEY MARIE LAFRENIER PA-C 1548083819
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.