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: July 19, 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
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

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.

Pathology (Anatomic Pathology & Clinical Pathology)
1400 CHARLES ST
ROCKFORD, IL 61104
Pathology (Anatomic Pathology & Clinical Pathology)
1400 CHARLES ST
ROCKFORD, IL 61104
Pathology (Anatomic Pathology & Clinical Pathology)
1400 CHARLES ST
ROCKFORD, IL 61104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720050495, enumerated as an "individual" on February 06, 2006.

The provider is located at 1400 CHARLES ST ROCKFORD, IL 61104 and the phone number is (815) 489-4267.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.