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SUE M PARK APN
NPI 1578700522
Nurse Practitioner - Pediatrics in Chicago, IL

Active since January 13, 2009
225 E CHICAGO AVE # 19, CHICAGO, IL 60611(312) 227-5157(312) 227-9730 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sue M Park Apn NPPES

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

SUE M PARK APN (NPI 1578700522) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209.007061041.336475) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1578700522
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUE M PARKCredential: APN
Location Address225 E CHICAGO AVE # 19Chicago, IL 60611-2991
Mailing Address225 E Chicago Ave # 19Chicago, IL 60611-2991 · (312) 227-5157 · Fax (312) 227-9730
Phone(312) 227-5157
Fax(312) 227-9730
Sole ProprietorNo
Enumeration DateJanuary 13, 2009
Last NPPES UpdateFebruary 4, 2019
✔ NPI 1578700522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209.007061041.336475
225 E CHICAGO AVE # 19, Chicago, IL 60611
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Other Identifiers 2

Medicaid1801058086IL
Medicaid1578700522IL

Other Providers at the Same Location NPPES 3

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

MICHELLE TSAO M.D.
Anesthesiology (Pediatric Anesthesiology)
225 E CHICAGO AVE # 19
CHICAGO, IL 60611
Cook County (312) 227-5168
DR. MOLLY ELIZABETH GEAMAN DNP, CPNP
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE # 19
CHICAGO, IL 60611
Cook County (312) 227-5157
DR. LISA E SOHN MD
Anesthesiology (Pediatric Anesthesiology)
225 E CHICAGO AVE # 19
CHICAGO, IL 60611
Cook County (312) 227-5170

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 Sue Park's NPI number?

The NPI number for Sue Park is 1578700522. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Where is Sue Park located?

Sue Park practices at 225 E Chicago Ave # 19, Chicago, IL 60611. The listed phone number is (312) 227-5157.

What is Sue Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Sue Park was last updated on February 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.