Individual
DR. KELLY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 SHERMER RD STE 200, NORTHBROOK, IL 60062-4563
(847) 559-0090
Mailing address
1800 AMBERLEY CT APT 112, LAKE FOREST, IL 60045-1057
(330) 247-8419
(877) 991-4957
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.143099
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036143099
IL
Other
Enumeration date
07/01/2010
Last updated
10/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us