DR. JUN SOO PARK MD
NPI 1659900777
Emergency Medicine in Maywood, IL

Q: What is Jun Soo Park's NPI number?

The NPI number for Jun Soo Park is 1659900777. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Jun Soo Park's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jun Soo Park was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 02, 2020PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(847) 345-2121 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2024, Feb 9, 2023, Apr 2, 2020 (3 updates tracked since 2020).

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About Dr. Jun Soo Park Md NPPES

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

DR. JUN SOO PARK MD (NPI 1659900777) is an individual emergency medicine provider in Maywood, Illinois, licensed in Illinois (036162814) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659900777

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JUN SOO PARKCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2270 S Elizabeth StLombard, IL 60148-7124 · (847) 345-2121

Phone(847) 345-2121

Sole ProprietorNo

Enumeration DateApril 2, 2020

Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1659900777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036162814

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2160 S 1ST AVE, Maywood, IL 60153

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jun Soo 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.

Medicare Billing Reassignments

Medicare enrollment records show Jun Soo Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epss LLC- Lakeside Series

11 mi

Emergency Medicine

850 W IRVING PARK RD
Chicago, IL 60613

Reassigned Medicare billing, Illinois enrollment
32 clinicians in this Medicare group

NPI 1861271181 (773) 525-6780

Southeastern Emergency Physicians Of Memphis LLC

238 mi

Emergency Medicine

1 MEMORIAL DR
Alton, IL 62002

Reassigned Medicare billing, Illinois enrollment
65 clinicians in this Medicare group

NPI 1437105277 (618) 463-7474

Emergency Services Midwest Sc

256 mi

Emergency Medicine

4500 MEMORIAL DR
Belleville, IL 62226

Reassigned Medicare billing, Illinois enrollment
111 clinicians in this Medicare group

NPI 1174024806 (618) 257-5840

Southern California Permanente Medical Group

1,712 mi

Health Maintenance Organization

43112 N 15TH ST
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$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 20

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

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