Individual provider · Type 1 NPI

Kyriaki M. Keenan, PA-C

Physician Assistant · Hazel Crest, IL

NPI number 1043932403 Active

Practice location

17800 Kedzie Ave
Hazel Crest, IL 60429-2029

Call (708) 213-4200 Map

Fax (708) 213-0144

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

920 Church St N, Concord, NC 28025-2927 · (704) 403-3000

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Physician Assistant Primary	363A00000X	085-009272 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043932403

Kyriaki M. Keenan, PA-C's National Provider Identifier is 1043932403, issued on Sep 13, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Apr 15, 2025.