CANDICE KIMBERLY PARK MD
NPI 1548955107
Internal Medicine - Rheumatology in Chicago, IL

Active since April 10, 2023PECOS Enrolled
5841 S MARYLAND AVE # MC9015, CHICAGO, IL 60637(773) 702-6119(773) 834-7065 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Candice Kimberly Park Md NPPES

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

CANDICE KIMBERLY PARK MD (NPI 1548955107) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (125087092) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548955107
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameCANDICE KIMBERLY PARKCredential: MD
Location Address5841 S MARYLAND AVE # MC9015Chicago, IL 60637-1443
Mailing Address180 Harvester Dr. Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Fax(773) 834-7065
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1548955107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in IL · 125087092
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

5841 S MARYLAND AVE # MC9015, Chicago, IL 60637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Candice Kimberly Park Md 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.

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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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

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

Internal Medicine
5841 S MARYLAND AVE # MC9015
CHICAGO, IL 60637

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 Candice Park's NPI number?

The NPI number for Candice Park is 1548955107. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Candice Park located?

Candice Park practices at 5841 S Maryland Ave # Mc9015, Chicago, IL 60637. The listed phone number is (773) 702-6119.

What is Candice Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Candice Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Candice Park was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.