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

Destiny Kellam, MD

Individual provider Hospice and Palliative Medicine (Emergency Medicine) Physician · NPI 1033853650

Destiny Kellam, MD is an Emergency Medicine in Chicago, Illinois. Graduated from Wayne State University School of Medicine in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
4
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave Ste MC6098
Chicago, IL 60637-1448
Phone: (855) 702-8222
Show map & directions

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

Additional practice locations (1)

  • 2320 E 93rd St, Chicago, IL 60617-3909 — (773) 967-5430

Specialties & licences

Hospice and Palliative Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PH0002X · Licence 036.174599 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-174599 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033853650
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2022
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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