Search › Illinois › 207ND0101X
Kelly Park, M.D
NPI 1659683993 · on the registry since 2010
Practice
- Address
- 1200 Shermer Rd Ste 200
Northbrook, IL 60062 - Phone
- (847) 559-0090
- Organisation at this address
- Barry M Gershuny Md
James M. Dod, Ph.D. Ltd
Obsidian Counseling And Wellness, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1124 Essington Rd, Joliet, IL
- 1240 N Milwaukee Ave, Libertyville, IL
- 755 S Milwaukee Ave Ste 224, Libertyville, IL
- 5000 S 5th Ave, Hines, IL
- 2500 S Highland Ave Ste 320, Lombard, IL
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Also registered as
- 207N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-29
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