DR. RICHARD PARK (NPI# 1568579027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568579027 |
| Entity Type | Individual |
| Full Name | DR. RICHARD PARK |
| Credential | MD |
| Practice Address |
87 N Airlite St Suite #100 Elgin IL 60123-4988 |
| Practice Telephone | 8478882320 |
| Practice Fax Number | 8478882591 |
| Mailing Telephone | 8478882320 |
| Mailing Fax Number | 8478882591 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036083176 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036083176 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518525054 | Richard Park | Dentist | 6942 Lindner Dr, Franklin, WI 53132-8904 | 2019-05-30 |
| 1407125164 | Richard Kyungho Park | Otolaryngology | 331 Skidder Trl, Truckee, CA 96161-3931 | 2011-12-23 |
| 1154349132 | Richard Park | Family Medicine | 703 W Martin, Ms 49-2, San Antonio, TX 78207-3110 | 2006-07-17 |
| 1982694410 | Richard Eldon Park | Anesthesiology | 565 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2005-10-26 |
| 1306843669 | Richard I. Park | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2005-07-01 |
| 1306369160 | Richard Park | Marriage & Family Therapist | 1136 S Delano Ct W Ste B201, Chicago, IL 60605 | 2017-07-24 |
| 1174718134 | Richard Park | Internal Medicine | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2007-09-12 |
| 1295813053 | Richard Allen Park | Hospitalist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2006-11-01 |
| 1871517292 | Richard L. Park | Social Worker | 1921 E Yandell Dr, El Paso, TX 79903-3416 | 2006-07-27 |
| 1114985298 | Richard Park | Emergency Medicine | 175 Community Dr, Great Neck, NY 11021-5502 | 2006-05-01 |
| Street Address |
87 N AIRLITE ST SUITE #100 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942245865 | Alan Arps | Surgery | 87 N Airlite St, Suite 160, Elgin, IL 60123-4988 | 2006-06-17 |
| 1063992055 | Rosario I Sanchez | Nurse Practitioner | 87 N Airlite St, Elgin, IL 60123-4988 | 2018-08-19 |
| 1700057304 | Village Pharmacy Inc | Pharmacy | 87 N Airlite St, G10, Elgin, IL 60123-4988 | 2008-03-21 |
| 1427254341 | Accurate Health Check Laboratories,inc | Clinical Medical Laboratory | 87 N Airlite St, Suite G-14, Elgin, IL 60123-4988 | 2007-06-26 |
| 1891848404 | Alan D Arps PC | Surgery | 87 N Airlite St, Ste 160, Elgin, IL 60123 | 2007-01-18 |
| 1295763886 | Women's Doc of Elgin, S. C. | Pediatrics | 87 N Airlite St, Suite G14, Elgin, IL 60123-4988 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584238 | Mahmood Akbari Fard | Internal Medicine | 1710 N Randall Rd Suite 340, Advanced Cardiology, Elgin, IL 60123 | 2012-03-06 |
| 1710187836 | Vineet Kartik Dandekar | Internal Medicine | 1435 N Randall Rd Ste 202, Elgin, IL 60123-2303 | 2007-07-18 |
| 1043364938 | Abbas Y. Rampurwala | Internal Medicine | 2410 Alft Ln, Elgin, IL 60124-7843 | 2007-01-22 |
| 1730115791 | Syed Hasan | Internal Medicine | 87 N Airlite, Suite100, Elgin, IL 60123 | 2006-06-23 |
| 1710934674 | Cameron Haery | Internal Medicine | 1975 Lin Lor Ln Ste 155, Elgin, IL 60123-4902 | 2006-05-27 |
| 1841250958 | David S Bromet | Internal Medicine | 1975 Lin Lor Lane, Suite 175, Elgin, IL 60123-4920 | 2006-03-23 |
| 1477984060 | Elgin Cardiovascular Ltd | Internal Medicine | 1435 N Randall Rd, 206, Elgin, IL 60123-2306 | 2013-12-06 |
| 1811327844 | Metro Heart & Vascular Institute Ltd | Internal Medicine | 2410 Alft Ln, Ste. 100, Elgin, IL 60124-7843 | 2013-11-12 |
| 1619293131 | Karthik Kumar Challa | Internal Medicine | 1435 N Randall Rd, Ste 201, Elgin, IL 60123 | 2010-04-08 |
| 1083718423 | Azmey Awad Matarieh | Internal Medicine | 1435 N Randall Rd, Ste 201, Elgin, IL 60123 | 2006-09-07 |
| Find all providers in ELGIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.