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

Tara Kennedy Duffy, PA

Individual provider Physician Assistant · NPI 1073198214

Tara Kennedy Duffy, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1611 W Harrison St
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 — (877) 632-6637

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-008371 (IL)

Record details

NPI number1073198214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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