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SAMUEL PARK MD
NPI 1720050495
Pathology - Anatomic Pathology & Clinical Pathology in Rockford, IL

Active since February 06, 2006
1400 CHARLES ST, ROCKFORD, IL 61104(815) 489-4267(815) 966-3967 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Park Md NPPES

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

SAMUEL PARK MD (NPI 1720050495) is an individual anatomic pathology & clinical pathology provider in Rockford, Illinois, licensed in Illinois (036063669) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1720050495
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameSAMUEL PARKCredential: MD
Location Address1400 CHARLES STRockford, IL 61104-2224
Mailing AddressPo Box 15785Loves Park, IL 61132-5785 · (815) 654-7772 · Fax (815) 654-7009
Phone(815) 489-4267
Fax(815) 966-3967
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 18, 2007
✔ NPI 1720050495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 036063669
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1400 CHARLES ST, Rockford, IL 61104
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Other Identifiers 3

Medicare UPINE34642
Medicaid036063669IL
Medicare PINL97825IL

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.

HIULUI LAU MD
Pathology (Anatomic Pathology & Clinical Pathology)
1400 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4267
ROGER HILBERT MD
Pathology (Anatomic Pathology & Clinical Pathology)
1400 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4267
REBEKHA NEU MD
Pathology (Anatomic Pathology & Clinical Pathology)
1400 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4267

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 Samuel Park's NPI number?

The NPI number for Samuel Park is 1720050495. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Samuel Park located?

Samuel Park practices at 1400 Charles St, Rockford, IL 61104. The listed phone number is (815) 489-4267.

What is Samuel Park's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.