Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY PARK, M.D.
ActiveDR. KELLY PARK, M.D. is a Obesity Medicine healthcare provider located in NORTHBROOK, Illinois. NPI 1659683993 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · NORTHBROOK, IL
Registration Details
- NPI Number
- 1659683993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2010 (16.146216920281 yrs)
- Last Updated
- Oct 29, 2025
- Licenses
-
036.143099 (IL)036143099 (IL)
Practice Information
- Address
-
1200 SHERMER RD STE 200NORTHBROOK, IL, 600624563Browse IL providers · Browse ZIP 60062
- Phone
- 8475590090
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
Other Obesity Medicine Providers in NORTHBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| JAMES G LAHTI | M.D. | 1689783086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.