DR. DEREK KELLY, MD
Family Medicine
Active
Individual
NPI: 1407989106
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 036063365 (IL) |
Frequently Asked Questions
NPI 1407989106 is the National Provider Identifier for DR. DEREK KELLY, MD, a Family Medicine provider located in Evanston, IL. This NPI was enumerated on March 13, 2007.
DR. DEREK KELLY, MD practices at 800 AUSTIN ST STE 157, Evanston, IL 60202.
Quick Facts
- NPI
- 1407989106
- Type
- Individual
- Enumerated
- Mar 13, 2007
- Last Updated
- Jan 29, 2026
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