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

Dr. Daniel Kelley, MD

Individual provider Family Medicine Physician · NPI 1912437187

Dr. Daniel Kelley, MD is a Sports Medicine in Chicago, Illinois. Graduated from University of Southern California Keck School of Medicine in 2017, 9 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
9
Trained at
University of Southern California Keck School of Medicine
Licensed in
IL, WA
In the registry since
2017
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

680 N Lake Shore Dr Ste 924
Chicago, IL 60611-8701
Phone: (847) 866-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036152896 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ML60770434 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence ML60770434 (WA)

Record details

NPI number1912437187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address680 N Lake Shore Dr Ste 924, Chicago, IL 60611-8701

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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