Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Elizabeth-Howe Kellogg

Individual provider Physician Assistant · NPI 1912376856

Breanna Elizabeth-Howe Kellogg is a Physician Assistant in Maywood, Illinois. Qualified in 2015, 11 years ago. Practices with Rush University Medical Group, a 1,499-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
11
Licensed in
IL, MI
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006681 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 363A00000X (MI)

Record details

NPI number1912376856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2015
Last updated in NPPESMay 21, 2022
Certification dateMay 21, 2022
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maywood