Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARK E KILEY DO
NPI 1639800022
Pediatrics in Park Ridge, IL

Active since June 17, 2022PECOS Enrolled
1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 318-9300 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, Apr 6, 2026, Jun 23, 2023 (3 updates tracked since 2023).

About Dr. Mark E Kiley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK E KILEY DO (NPI 1639800022) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (036.174803) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Lawn, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1639800022
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK E KILEYCredential: DO
Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address1675 Dempster StPark Ridge, IL 60068-1110 · (847) 723-2210 · Fax (847) 723-8285
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1639800022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in IL · 036.174803 Licensed in PA · OT022077 Licensed in WI · 81935-21 Licensed in IL · 125.081243
Definition

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.

Also ListedHospitalistTaxonomy 208M00000X · License 81935-21 (WI)
1675 DEMPSTER ST, Park Ridge, IL 60068

Secondary Practice Location 1

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (708) 684-5880 · Fax (708) 684-2039

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark E Kiley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587192885
PECOS Enrollment IDI20250728003162
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1675 DEMPSTER ST, 1ST FLOOR
PARK RIDGE, IL 60068
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Psychologist (Clinical)
1675 DEMPSTER ST, 3RD FLR., YACKTMAN PAVILION, DEVELOPMENTAL PEDIATRICS
PARK RIDGE, IL 60068
Physical Therapist
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Nurse Practitioner (Pediatrics)
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Case Manager/Care Coordinator
1675 DEMPSTER ST
PARK RIDGE, IL 60068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Kiley's NPI number?

The NPI number for Mark Kiley is 1639800022. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Mark Kiley located?

Mark Kiley practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 318-9300.

What is Mark Kiley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Kiley enrolled in Medicare?

Yes. Mark Kiley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Kiley was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.