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Dr. Kelley Kathleen Staley , MD

Pediatrics β€’ Chicago, IL

Active NPI 1184652984 Individual Practitioner Female Practitioner
Practice location in NPPES

1701 W Superior St
Chicago, IL 606225646

Call 3126663494 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1701 W Superior St

Chicago, IL 606225646

Telephone 3126663494
Organization at the Same NPPES Address or Phone
Erie Family Health Center, Inc Facility NPI 1760499545

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chicago, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

1,143 active clinicians are listed under Pediatrics with a practice address in Chicago, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.3% of these 1,143 clinicians have the CMS telehealth indicator.

4.6% of these 1,143 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036115572

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

5841 S Maryland Ave

Chicago, IL 606371447

Phone: 7737021000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Sherie Ajayi , NP

Nurse Practitioner

NPI 1184290025

Nurse Practitioner

Uroosa Amir

Family Medicine

NPI 1457093213
Ashley Anderson

Family Medicine

NPI 1649920851
Nida Bajwa

Family Medicine

NPI 1033744081
NPI 1407417264

Doctor of Medicine (M.D.)

Meredith Berlin , FNP-C

Nurse Practitioner - Family

NPI 1548800105

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 09, 2021

Registered at 1701 W SUPERIOR ST, CHICAGO, IL 606225646 (Tel: 3126663494)

πŸ“
Updated Business Mailing Address August 09, 2021

Registered at 1126 WISCONSIN AVE, OAK PARK, IL 603041820 (Tel: 3122171662)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2021

Pediatrics (license number reported to NPPES: IL 036115572)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 814 S MILLER ST, #3N, CHICAGO, IL 606074215 (Tel: 3122171662)

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 606371447 (Tel: 7737021000)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KELLEY STALEY, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

🟒
Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184652984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: August 09, 2021
Sole Proprietor: No

Other Pediatrics Specialists in Chicago

All Pediatrics Specialists in Chicago

Mailing Address

1126 Wisconsin Ave

Oak Park, IL 603041820

Phone: 3122171662

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.