DR. KELLY PARK, M.D.
Dermatology - MOHS-Micrographic Surgery
Active
Individual
NPI: 1659683993
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | No | 036.143099 (IL) |
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | Yes | 036143099 (IL) |
Frequently Asked Questions
NPI 1659683993 is the National Provider Identifier for DR. KELLY PARK, M.D., a Dermatology - MOHS-Micrographic Surgery provider located in Northbrook, IL. This NPI was enumerated on July 1, 2010.
DR. KELLY PARK, M.D. practices at 1200 SHERMER RD STE 200, Northbrook, IL 60062.
Quick Facts
- NPI
- 1659683993
- Type
- Individual
- Enumerated
- Jul 1, 2010
- Last Updated
- Oct 29, 2025
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