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

Kyriaki M Keenan, PA-C

Individual provider Physician Assistant · NPI 1043932403

Kyriaki M Keenan, PA-C is a Physician Assistant in Hazel Crest, Illinois. Qualified in 2022, 4 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone: (708) 213-4200
Fax: (708) 213-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Church St N, Concord, NC 28025-2927 — (704) 403-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-009272 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1043932403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Hazel Crest