SIMON PARK
NPI 1568040269
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Simon Park's NPI number?

The NPI number for Simon Park is 1568040269. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Simon Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Simon Park was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 01, 2021

1740 W TAYLOR ST # MC931, CHICAGO, IL 60612(312) 996-0011 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Simon Park NPPES

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

SIMON PARK (NPI 1568040269) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2021. He maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1568040269

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSIMON PARK

Location Address1740 W TAYLOR ST # MC931Chicago, IL 60612-7232

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001

Phone(312) 996-0011

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateJune 29, 2022

NPPES CertifiedJune 29, 2022

✔ NPI 1568040269 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.

1740 W TAYLOR ST # MC931, Chicago, IL 60612

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Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 655-7728 · Fax (309) 624-6642

Other Providers at the Same Location NPPES

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

JOHN BIREN-FETZ DO

Radiology (Diagnostic Radiology)

1740 W TAYLOR ST # MC931
CHICAGO, IL 60612

Cook County (312) 996-0235

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 Simon Park's NPI number?

The NPI number for Simon Park is 1568040269. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Simon Park located?

Simon Park practices at 1740 W Taylor St # Mc931, Chicago, IL 60612. The listed phone number is (312) 996-0011.

What is Simon Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Simon Park was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.