Provider Profile

Kelly Dietrick

Unclaimed Profile

About Kelly Dietrick

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Education & Training

School Other Graduated: 2025

Specialty

Physician Assistant (Primary)

Credentials & Licensing

IL license085-011805
NPI1265393003
NPI issued11/20/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kelly Dietrick?

Kelly Dietrick is a physician assistant in Chicago, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kelly Dietrick's address?

Kelly Dietrick is listed at 6140 N Broadway St, Chicago, IL 60660. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kelly Dietrick?

The number on file is (224) 795-3521. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Kelly Dietrick?

Kelly Dietrick's National Provider Identifier is 1265393003. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kelly Dietrick train?

Kelly Dietrick attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kelly Dietrick have?

Kelly Dietrick has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Is Kelly Dietrick's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly Dietrick. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.