Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639800022 Individual Practitioner Male Practitioner

Dr. Mark E Kiley , DO

Pediatrics • Park Ridge, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kiley, DO is a certified Pediatrics practicing in Park Ridge, IL. With approximately 4 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 2022, Dr. Kiley delivers high-quality medical care to the local community at 1675 DEMPSTER ST.

Dr. Kiley does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1675 Dempster St

Park Ridge, IL 600681110

Telephone 8473189300
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Park Ridge, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
125 Specialists

Practicing in Park Ridge, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kiley (4 Years) 4 Yrs
Park Ridge Specialty Average (9.3 Years) 9.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.174803

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA OT022077

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WI 81935-21

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125.081243

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WI 81935-21

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Practice Locations

4440 W 95th St

Oak Lawn, IL 604532600

Phone: 7086845880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003666777

Doctor of Osteopathic Medicine (D.O.)

NPI 1003930736

Doctor of Medicine (M.D.)

NPI 1013767086

Doctor of Osteopathic Medicine (D.O.)

NPI 1023047842

Doctor of Medicine (M.D.)

Rabiah Basith

Pediatrics

NPI 1023638731
Gina Palm , APN

Nurse Practitioner - Pediatrics

NPI 1033148275

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 06, 2026

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

📍
Updated Business Mailing Address April 06, 2026

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8477232210)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Pediatrics (License #OT022077 in PA)

📍
Updated Practice Location July 18, 2025

Registered at 600 HIGHLAND AVE, MADISON, WI 537920001 (Tel: 6082638558)

📍
Updated Business Mailing Address July 18, 2025

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

📍
Updated Practice Location June 23, 2023

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

📍
Updated Business Mailing Address June 23, 2023

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2023

Pediatrics (License #125.081243 in IL)

NPI Profile Active June 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2022

Registered at 5501 OLD YORK RD STE 1, PHILADELPHIA, PA 191413098 (Tel: 2154567890)

📍
Updated Business Mailing Address June 17, 2022

Registered at 5501 OLD YORK RD STE 1, PHILADELPHIA, PA 191413098 (Tel: 2154567890)

👤
Provider Name / Credentials Updated June 17, 2022

Recorded as MARK KILEY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2022

Pediatrics (License #OT022077 in PA)

🟢
Initial NPI Registration & Enumeration June 17, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639800022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2022
Last Update: July 14, 2026
Sole Proprietor: No

Mailing Address

1675 Dempster St

Park Ridge, IL 600681110

Phone: 8477232210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.