DR. KELLY ANN CHANEY ED.D NPI 1003699570

NPI Information

  • NPI: 1003699570
  • Provider Name: DR. KELLY ANN CHANEY, ED.D
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6415 S CAMPBELL AVE
    CHICAGO, IL
    ZIP 60629
  • Phone: (773) 310-4736

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NPI Details

DR. Kelly Ann Chaney, ED.D is a professional counselor in Chicago, IL. DR. Kelly Ann Chaney, ED.D NPI is 1003699570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6415 S CAMPBELL AVE
CHICAGO, IL
ZIP 60629-306
Phone: (773) 310-4736

The NPI 1003699570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/17/2023 and was last updated on 8/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180015467ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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