Search › Illinois › 207V00000X
Jay Keller, M.D
NPI 1790760544 · on the registry since 2005
Practice
- Address
- 611 W Park St
Urbana, IL 61801 - Phone
- (217) 383-3140
- Fax
- (217) 383-4966
- Organisation at this address
- Lifenet, Inc.
Carle Hospital
University Of Illinois
University Of Illinois
Carle Foundation HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 976
Additional practice sites
- 1 Memorial Drive, Decatur, IL
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- AL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois