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JIYOON PARK DO
NPI 1669275509
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 28, 2025PECOS Enrolled
820 S WOOD ST STE 100, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Jiyoon Park Do NPPES

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

JIYOON PARK DO (NPI 1669275509) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669275509
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJIYOON PARKCredential: DO
Location Address820 S WOOD ST STE 100Chicago, IL 60612-4325
Mailing Address820 S Wood St Ste 100Chicago, IL 60612-4325 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Enumeration DateMarch 28, 2025
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1669275509 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.
820 S WOOD ST STE 100, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jiyoon Park Do 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.

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.

CAILEAN ELLIOT MCKAY MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
KATHERINE ELIZABETH WINEBRAKE
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. RYAN WANG BS
Neurological Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
ABHISHEK DESHPANDE MD
Orthopaedic Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 413-2048
JEFFREY CARL PETERSON MD, PHD
Ophthalmology
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MAY BARAKAT
Family Medicine
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
IMARI C MCCULLOUGH
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
LIISA M BAUMANN MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Jiyoon Park's NPI number?

The NPI number for Jiyoon Park is 1669275509. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Jiyoon Park located?

Jiyoon Park practices at 820 S Wood St Ste 100, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Jiyoon Park's specialty?

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

Is Jiyoon Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jiyoon Park was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.