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

Dr. Mark E Kiley, DO

Individual provider Pediatrics Physician · NPI 1639800022

Dr. Mark E Kiley, DO is a Pediatric Medicine in Park Ridge, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2022, 4 years ago. Works from 2 locations. Licensed in Illinois, Pennsylvania and Wisconsin.

Years since qualifying
4
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL, PA, WI
In the registry since
2022
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 318-9300
Show map & directions

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

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-5880

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.174803 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence OT022077 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 81935-21 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 125.081243 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 81935-21 (WI)

Record details

NPI number1639800022
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1675 Dempster St, Park Ridge, IL 60068-1110

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesHOSPITALIST
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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