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JOHN PARK
NPI 1063269728
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 01, 2024PECOS Enrolled
600 S PAULINA ST STE 403, CHICAGO, IL 60612(312) 942-7100 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Park NPPES

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

JOHN PARK (NPI 1063269728) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063269728
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN PARK
Location Address600 S PAULINA ST STE 403Chicago, IL 60612-3806
Mailing Address600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone(312) 942-7100
Sole ProprietorYes
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1063269728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 S PAULINA ST STE 403, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ROHAN PISHARODY MD
Psychiatry & Neurology (Neurology)
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5495
SAMUEL JOHNSON DO
Anesthesiology
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-3134
KAYLA HALL MD
Emergency Medicine
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5495
RICODEM NAUDEL DESIR MD
Student in an Organized Health Care Education/Training Program
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
JANE EDMUNDS
Internal Medicine
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
ALEXANDER PAUL SUN MD
Surgery
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
IAN KOLATA
Anesthesiology
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
ELIZABETH EVANS M.D.
Internal Medicine (Cardiovascular Disease)
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5000

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 John Park's NPI number?

The NPI number for John Park is 1063269728. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is John Park located?

John Park practices at 600 S Paulina St Ste 403, Chicago, IL 60612. The listed phone number is (312) 942-7100.

What is John Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Park enrolled in Medicare?

Yes. John Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Park was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.