Individual provider · Type 1 NPI
Derek Joseph Kelly, MD
Family Medicine Physician · Evanston, IL
NPI number
1407989106
Active
Practice location
800 Austin St Ste 157
Evanston, IL 60202-3452
Fax (773) 293-3514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | 036063365 (IL) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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About NPI 1407989106
Derek Joseph Kelly, MD's National Provider Identifier is 1407989106, issued on Mar 13, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Evanston, IL. The record was last updated on Jan 29, 2026.