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Kelly Dietrick

  • Chicago, IL
  • Physician assistant
NPI1265393003PAC ID6709362742
Medical group
1
State license
1
Year NPI issued
2025
Practice address
6140 N Broadway St, Chicago, IL 60660
Practice phone
Call (815) 713-2738
Professional email
Get professional email
Personal email
Get personal email
Mobile number
Get mobile number
Social profiles

Primary practice

Physicians Immediate Care North Chicago

Chicago, Illinois

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Kelly Dietrick is a physician assistant in Chicago, Illinois

Kelly Dietrick practices at Physicians Immediate Care North Chicago in Chicago, Illinois.

Kelly Dietrick's NPI, 1265393003, was assigned on November 20, 2025. Kelly Dietrick holds Illinois license 085-011805.

NPI and contact details
NPI
1265393003NPI Registry (opens in a new tab)
Medicare PAC ID
6709362742
NPI enumeration date
November 20, 2025
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(815) 713-2738
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female
Estimated age
27
Medical school graduation
2025

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Kelly Dietrick practices at Physicians Immediate Care North Chicago in Chicago, Illinois

Kelly Dietrick's primary practice is Physicians Immediate Care North Chicago, at 6140 N Broadway St, Chicago, IL 60660 in Cook County. The practice phone is (815) 713-2738.

  • Physicians Immediate Care North Chicago
    6140 N Broadway St, Chicago, IL 60660 · Cook CountyPhone(815) 713-2738

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Kelly Dietrick is affiliated with 1 site of care and 1 medical group

Kelly Dietrick's primary practice is Physicians Immediate Care North Chicago in Chicago, Illinois. The medical group on file is Physicians Immediate Care.

Physicians Immediate Care North ChicagoChicago, IllinoisPrimary
Physicians Immediate CarePrimary care group, Chicago, IL

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Kelly Dietrick's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kelly Dietrick practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Physicians Immediate Care North ChicagoAvailable with a free account

Source: Dmand AI Technology Install Data

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Kelly Dietrick is one of 4,299 physician assistants in Illinois

Physician assistant is Kelly Dietrick's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Kelly Dietrick is licensed in Illinois.

Specialties and state licenses

  • Physician assistant, IllinoisPrimaryLicense 085-011805 · taxonomy 363A00000X

Physician assistants near Kelly Dietrick

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

4,299physician assistants in Illinois1,351physician assistants in Chicago

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Kelly Dietrick's patients have a median age of 31

Across all payers, Dmand AI patient panel data puts Kelly Dietrick's median patient age at 31, with 60% women.

Kelly Dietrick's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 31

Patient panel by sex, all payers

  • Women60%
  • Men39%

Source: Dmand AI Patient Panel Data

How Kelly Dietrick takes part in Medicare

Kelly Dietrick accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Kelly Dietrick's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kelly Dietrick

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kelly Dietrick's NPI number?

Kelly Dietrick's NPI number is 1265393003. It was assigned on November 20, 2025, and it is active in the NPI Registry.

What does Kelly Dietrick specialize in?

Kelly Dietrick is a physician assistant in Chicago, Illinois. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Kelly Dietrick practice?

Kelly Dietrick practices at 6140 N Broadway St, Chicago, IL 60660. Kelly Dietrick's primary practice is Physicians Immediate Care North Chicago in Chicago, Illinois.

What is Kelly Dietrick's office phone number?

The practice phone on file for Kelly Dietrick is (815) 713-2738.

What is Kelly Dietrick's medical license number?

Kelly Dietrick holds Illinois license 085-011805.

What medical group is Kelly Dietrick part of?

Kelly Dietrick is linked to Physicians Immediate Care.

Does Kelly Dietrick accept Medicare?

Yes. CMS lists Kelly Dietrick as accepting Medicare assignment.

How long has Kelly Dietrick been practicing?

Kelly Dietrick graduated from medical school in 2025, 1 years ago.

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