SearchIllinois207Q00000X

Derek Kelly, MD

NPI 1407989106 · on the registry since 2007

Practice

Address
800 Austin St Ste 157
Evanston, IL 60202
Phone
(773) 293-3510
Fax
(773) 293-3514
Organisation at this address
Total Rehab, Pc
K J Philip Mdsc
Peter Werner Md
Robert M Gerber
Lome Urology Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois