Dermatology, MOHS-Micrographic Surgery
Dr. KELLY PARK M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659683993 · enumerated 2010-07-01 · record updated 2025-10-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KELLY PARK
Addresses and phones
- Mailing address 1800 AMBERLEY CT APT 112, LAKE FOREST, IL, 60045-1057 (330) 247-8419 Fax (877) 991-4957 Google Maps Apple Maps OpenStreetMap
- Practice location 1200 SHERMER RD STE 200, NORTHBROOK, IL, 60062-4563 (847) 559-0090 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 036.143099 IL
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License 036143099 IL
In this directory
IL Cook County Northbrook Dermatology, MOHS-Micrographic Surgery
Locations and evidence
-
Practice location
NORTHBROOK, IL, 600624563
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.