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

Kelly Maroney Vinson, PA-C

Individual provider Physician Assistant · NPI 1639211089

Kelly Maroney Vinson, PA-C is a Physician Assistant in Lindenhurst, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3021 Falling Waters Blvd Ste A
Lindenhurst, IL 60046-6793
Phone: (847) 356-9300
Fax: (847) 356-7260
Show map & directions

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

Additional practice locations (1)

  • 731 S Il Route 21 Ste 130, Gurnee, IL 60031-3803 — (847) 566-3337

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002418 (IL)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1639211089
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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