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GRACE LEE PARK M.D.
NPI 1619147592
Family Medicine in Urbana, IL

Active since March 06, 2008PECOS Enrolled
1109 S. LINCOLN AVE., MCKINLEY HEALTH CENTER, URBANA, IL 61801(217) 333-2711 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grace Lee Park M.d. NPPES

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

GRACE LEE PARK M.D. (NPI 1619147592) is an individual family medicine provider in Urbana, Illinois, licensed in Illinois (036119920) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619147592
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRACE LEE PARKCredential: M.D.
Location Address1109 S. LINCOLN AVE., MCKINLEY HEALTH CENTERUrbana, IL 61801
Mailing Address1109 S. Lincoln Ave., Mckinley Health CenterUrbana, IL 61801 · (217) 333-2711
Phone(217) 333-2711
Sole ProprietorNo
Enumeration DateMarch 6, 2008
Last NPPES UpdateOctober 10, 2017
✔ NPI 1619147592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036119920
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1109 S. LINCOLN AVE., Urbana, IL 61801
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Other Identifiers 2

Medicare NSC6447860004IL
Medicare PINIL3270156IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Lee Park M.d. 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 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Grace Park's NPI number?

The NPI number for Grace Park is 1619147592. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Grace Park located?

Grace Park practices at 1109 S. Lincoln Ave. Mckinley Health Center, Urbana, IL 61801. The listed phone number is (217) 333-2711.

What is Grace Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grace Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace Park was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.