Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316214240 Individual Practitioner Female Practitioner

Dr. Nicole Christine Keller , DO

Pediatrics • Oswego, IL

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Keller, DO is a registered healthcare professional specializing in Pediatrics in Oswego, IL. Practice services are available at 4789 ROUTE 71 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4789 Route 71

Oswego, IL 605437415

Telephone 6308985969
Fax 6308985837
Associated Practice Facility / Clinic
🏢 Rush-Copley Medical Group Facility NPI 1629265764

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Oswego, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Oswego, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036129833

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1013537687

Doctor of Medicine (M.D.)

NPI 1245308873

Doctor of Osteopathic Medicine (D.O.)

NPI 1427234426

Doctor of Medicine (M.D.)

NPI 1700012713

Doctor of Medicine (M.D.)

NPI 1861445033

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address July 20, 2020

Registered at 4789 ROUTE 71, OSWEGO, IL 605437415 (Tel: 6308985969)

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 10, 2017

Registered at 1256 WATERFORD DRIVE, SUITE 230, AURORA, IL 60504 (Tel: 6306925452)

📍
Updated Practice Location July 10, 2017

Registered at 4789 ROUTE 71, OSWEGO, IL 605437415 (Tel: 6308985969)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as NICOLE KELLER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Pediatrics (License #036129833 in IL)

NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 4789 ROUTE 71, OSWEGO, IL 605437415 (Tel: 6308985969)

📍
Updated Business Mailing Address February 14, 2014

Registered at 2040 OGDEN AVENUE, SUITE 313, AURORA, IL 60504 (Tel: 6304992404)

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as NICOLE KELLER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Pediatrics (License #036129833 in IL)

🟢
Initial NPI Registration & Enumeration November 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316214240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2011
Last Update: July 20, 2020
Sole Proprietor: No

Mailing Address

4789 Route 71

Oswego, IL 605437415

Phone: 6308985969

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.