ANISA KELLEY MD NPI 1740607688

NPI Information

  • NPI: 1740607688
  • Provider Name: ANISA KELLEY, MD
  • Classification: Pediatrics - 2080P0008X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 225 E CHICAGO AVE
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 227-3550

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NPI Details

Anisa Kelley, MD is a neurodevelopmental disabilities pediatrics in Chicago, IL. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Anisa Kelley, MD NPI is 1740607688. 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:

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
Phone: (312) 227-3550

The NPI 1740607688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 4/21/2022.

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
12080P0008XPediatricsNeurodevelopmental Disabilities036.149631CALIFORNIAYes

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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