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

Kaley Jane O'Donnell, PA-C

Individual provider Physician Assistant · NPI 1821836487

Kaley Jane O'Donnell, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2024, 2 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9600 Gross Point Rd # 4517
Skokie, IL 60076-1214
Phone: (847) 677-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave., Evanston, IL 60201 — (847) 570-2000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085010575 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1821836487
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 17, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateAugust 30, 2024
Mailing address9600 Gross Point Rd # 4517, Skokie, IL 60076-1214

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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