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Dr Mary Kelly

Family Medicine Physician in River Forest, IL · enumerated 2008 · authorized official Mary Kelly, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164683157

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Registry record

Entity type Organization (Type 2)
Legal business name Dr Mary Kelly
Practice address 7319 North Ave, River Forest, IL, 60305
Phone (708) 848-0040
Enumeration date Jun 23, 2008
Last updated in NPPES Jun 23, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036077560 (IL) Primary

Authorized official

Name Mary Kelly
Title Owner
Phone (708) 848-0040

Other identifiers

Identifier Type State Issuer
036077560 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Dr Mary Kelly?
Dr Mary Kelly is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-23.