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

Dr. Kelly Park, MD

Individual provider Dermatology Physician · NPI 1659683993

Dr. Kelly Park, MD is a Dermatology in Northbrook, Illinois. Graduated from Northeastern Ohio University College of Medicine in 2009, 17 years ago. Practices with Illinois Dermatology Institute, LLC, a 50-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Trained at
Northeastern Ohio University College of Medicine
Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1200 Shermer Rd Ste 200
Northbrook, IL 60062-4563
Phone: (847) 559-0090
Show map & directions

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

Additional practice locations (5)

  • 5000 S 5th Ave, Hines, IL 60141-3030 — (708) 202-3800
  • 1124 Essington Rd, Joliet, IL 60435-8423 — (815) 744-8554
  • 755 S Milwaukee Ave Ste 224, Libertyville, IL 60048-3266 — (847) 250-0138
  • 1240 N Milwaukee Ave, Libertyville, IL 60048-1307 — (847) 367-5575
  • 2500 S Highland Ave Ste 320, Lombard, IL 60148-5390 — (815) 744-8554

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 036143099 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 036.143099 (IL)

Record details

NPI number1659683993
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Illinois Dermatology Institute, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northbrook