Individual provider · Type 1 NPI

Chad Michael Keller, PA

Surgical Physician Assistant · Evanston, IL

NPI number 1487875209 Active

Practice location

2650 Ridge Ave., Burch 100, Cardiac Surgery Division
Evanston, IL 60201

Call (847) 570-2859 Map

Fax (847) 570-2899

Mailing address

2650 Ridge Ave, Evanston Hospital
Evanston, IL 60201

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1487875209

Chad Michael Keller, PA's National Provider Identifier is 1487875209, issued on May 1, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.