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DR. SANDRA PARK M.D.
NPI 1306372057
Surgery in Chicago, IL

Active since May 01, 2017PECOS Enrolled
5841 S MARYLAND AVE, MAIL CODE 6040, CHICAGO, IL 60637(773) 834-7126(773) 702-2140 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Dec 5, 2019, Nov 3, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Sandra Park M.d. NPPES

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

DR. SANDRA PARK M.D. (NPI 1306372057) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036174012) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2017).

NPPES Registry Identity

NPI1306372057
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SANDRA PARKCredential: M.D.
Location Address5841 S MARYLAND AVE, MAIL CODE 6040Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(773) 834-7126
Fax(773) 702-2140
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1306372057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036174012
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5841 S MARYLAND AVE, Chicago, IL 60637
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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)

Dr. Sandra Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224373253
PECOS Enrollment IDI20260325000101
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 60637 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Sandra Park's NPI number?

The NPI number for Sandra Park is 1306372057. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Sandra Park located?

Sandra Park practices at 5841 S Maryland Ave Mail Code 6040, Chicago, IL 60637. The listed phone number is (773) 834-7126.

What is Sandra Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sandra Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sandra Park was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.