Individual provider · Type 1 NPI

Kelly Coderre

Physician Assistant · Chicago, IL

NPI number 1235601113 Active

Practice location

1500 S Fairfield Ave
Chicago, IL 60608-1782

Call (773) 542-2000 Map

Mailing address

820 Bruce Ave
Flossmoor, IL 60422-1250

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.006717 (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 1235601113

Kelly Coderre's National Provider Identifier is 1235601113, issued on Dec 17, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 17, 2018.