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

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X036063365 (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.