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

Dr. Jeannette Suzanne Codere Kelly, DO

Individual provider Family Medicine Physician · NPI 1154769081

Dr. Jeannette Suzanne Codere Kelly, DO is a Family Practice in Chicago, Illinois. Graduated from Michigan State University College of Osteopathic Medicine in 2013, 13 years ago. Practices with Michigan Avenue Primary Care SC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IL
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

180 N Michigan Ave Ste 1605
Chicago, IL 60601-7478
Phone: (312) 994-3000
Fax: (612) 201-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125063705 (IL)

Record details

NPI number1154769081
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2013
Last updated in NPPESSeptember 12, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Michigan Avenue Primary Care Sc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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