Healthcare Provider Details

I. General information

NPI: 1326077579
Provider Name (Legal Business Name): ROMINA KEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 E 55TH ST
CHICAGO IL
60615-5512
US

IV. Provider business mailing address

1525 E 55TH ST
CHICAGO IL
60615-5512
US

V. Phone/Fax

Practice location:
  • Phone: 773-388-1600
  • Fax: 773-388-8936
Mailing address:
  • Phone: 773-388-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD 036-089084
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: