Search › Illinois › 207PH0002X
Destiny Kellam, MD
NPI 1033853650 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5841 S Maryland Ave Ste Mc6098
Chicago, IL 60637 - Phone
- (855) 702-8222
- Organisation at this address
- Lifenet, Inc.
Medcentrix Inc
Hillary Hecktman
University Of Chicago
University Of ChicagoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,773
Additional practice sites
- 2320 E 93rd St, Chicago, IL
Registry record
- Primary taxonomy
- 207PH0002X
207PH0002X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-19
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