Individual provider · Type 1 NPI

Kelly Shi Thao, MD

Family Medicine Physician · Park Ridge, IL

NPI number 1588307441 Active

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Call (847) 318-2710 Map

Other practice locations

  • 1414 Maryland Ave E, St. Paul, MN 55106-2824 · (651) 772-3461

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X77739 (MN)

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 1588307441

Kelly Shi Thao, MD's National Provider Identifier is 1588307441, issued on Apr 19, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Park Ridge, IL. The record was last updated on Apr 9, 2026.