Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Kelly, DPM

Individual provider Foot Surgery Podiatrist · NPI 1619264041

Carolyn Kelly, DPM is a Podiatry in Bolingbrook, Illinois. Qualified in 2011, 15 years ago. Practices with Cook County, a 787-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

396 Remington Blvd Ste 370
Bolingbrook, IL 60440-4302
Phone: (630) 418-6601
Fax: (630) 312-2223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 256 Tudor Court, Bolingbrook, IL 60440-2056 — (630) 294-0810

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016.005524 (IL)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 016005524 (IL)
Podiatrist Taxonomy 213E00000X · Licence 135000752 (IL)

Record details

NPI number1619264041
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESAugust 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bolingbrook