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JESSE K. PARK MD SC
NPI 1942482278
Clinic/Center - Primary Care in Burr Ridge, IL

Active since November 28, 2007
100 TOWER DR, SUITE 105, BURR RIDGE, IL 60527(630) 325-8681(630) 325-3936 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse K. Park Md Sc NPPES

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

JESSE K. PARK MD SC (NPI 1942482278) is a healthcare organization registered as a primary care in Burr Ridge, Illinois and active in the NPI registry since November 2007. The organization lists Jesse Kitai Park, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1942482278
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJESSE K. PARK MD SC
Location Address100 TOWER DR, SUITE 105Burr Ridge, IL 60527-5777
Mailing Address100 Tower Dr, Suite 105Burr Ridge, IL 60527-5777 · (630) 325-8681 · Fax (630) 325-3936
Phone(630) 325-8681
Fax(630) 325-3936
Organization SubpartNo
Authorized OfficialJesse Kitai ParkMedical Doctor · (630) 325-8681
Enumeration DateNovember 28, 2007
Last NPPES UpdateFebruary 28, 2013
✔ NPI 1942482278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036-080235
100 TOWER DR, Burr Ridge, IL 60527
Open in Google Maps ↗

Other Identifiers 5

Medicare PINK24386IL
Medicare UPINF57281IL
Medicare PIN212867IL
Medicare PINK24387IL
Medicare PIN212866IL

Other Providers at the Same Location NPPES 4

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

EMELINA IDA JOHNSON AUD
Audiologist
100 TOWER DR, UNIT 101
BURR RIDGE, IL 60527
Dupage County (630) 321-3555
JESSE K PARK MD
Internal Medicine
100 TOWER DR, SUITE 105
BURR RIDGE, IL 60527
Dupage County (630) 325-8681
DR. TIMOTHY ROBERT TUMLIN PH.D.
Psychologist (Clinical)
100 TOWER DR, SUITE 120
BURR RIDGE, IL 60527
Dupage County (630) 371-1556
BIOCONCEPTS INC
Prosthetic/Orthotic Supplier
100 TOWER DR, SUITE 101
BURR RIDGE, IL 60527
Dupage County (630) 986-0007

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 Jesse K. Park MD Sc's NPI number?

The NPI number for Jesse K. Park MD Sc is 1942482278. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Jesse K. Park MD Sc located?

Jesse K. Park MD Sc is located at 100 Tower Dr Suite 105, Burr Ridge, IL 60527. The listed phone number is (630) 325-8681.

What is Jesse K. Park MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jesse K. Park MD Sc was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.