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Deactivated NPI 1497870828 Deactivated / Inactive NPI Male Practitioner

Dr. Robert V Kellow , MD

Pediatrics • Swansea, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Kellow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2007
NPI Deactivation Date February 18, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Kellow, MD was a registered Pediatrics practicing in Swansea, IL. Throughout an active medical career spanning 15 years, Dr. Kellow provided care at the practice location at 4969 BENCHMARK CENTRE DR until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

4969 Benchmark Centre Dr
Suite 100

Swansea, IL 622268928

Telephone 6182352311
Fax 6182352487
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Swansea, IL

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

Practicing in Swansea, 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036095994

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

4 Associated Practitioners
Lauren Haukap , CPNP

Nurse Practitioner - Pediatrics

NPI 1023651247

Certified Pediatric Nurse Practitioner

NPI 1184740524

Doctor of Medicine (M.D.)

NPI 1326467655

Doctor of Medicine (M.D.)

NPI 1740491141

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active October 03, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2014

Registered at 4969 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 622268928 (Tel: 6182352311)

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Updated Business Mailing Address October 03, 2014

Registered at 4969 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 622268928 (Tel: 6182352311)

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Provider Name / Credentials Updated October 03, 2014

Recorded as ROBERT KELLOW, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2014

Pediatrics (License #036095994 in IL)

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Initial NPI Registration & Enumeration March 21, 2007

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: 1497870828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: October 03, 2014
Deactivation Date: February 18, 2022

Mailing Address

4969 Benchmark Centre Dr, Suite 100

Swansea, IL 622268928

Phone: 6182352311

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.