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1487875209
CHAD MICHAEL KELLER
EVANSTON, IL
NPI
1487875209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085-000562)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- CHAD MICHAEL KELLER PA
2650 RIDGE AVE. BURCH 100, CARDIAC SURGERY DIVISION
EVANSTON, IL 60201
Phone number: 847-570-2859
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Mailing Address
-- CHAD MICHAEL KELLER PA
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201
Phone number: 847-570-1206
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