SUN PARK
NPI 1942771415
Nurse Practitioner - Family in Elk Grove Village, IL

Q: What is Sun Park's NPI number?

The NPI number for Sun Park is 1942771415. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Sun Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sun Park was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 10, 2018PECOS Enrolled

930 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007(800) 323-8622 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Jun 15, 2023, Dec 10, 2018 (3 updates tracked since 2018).

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About Sun Park NPPES

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

SUN PARK (NPI 1942771415) is an individual family provider in Elk Grove Village, Illinois, licensed in Illinois (209018502) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942771415

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSUN PARK

Location Address930 ELK GROVE TOWN CTRElk Grove Village, IL 60007-3754

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(800) 323-8622

Sole ProprietorYes

Enumeration DateDecember 10, 2018

Last NPPES UpdateJune 19, 20233 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1942771415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209018502

930 ELK GROVE TOWN CTR, Elk Grove Village, IL 60007

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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)

Sun Park 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60007 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.

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Other Providers at the Same Location NPPES 17

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

KHUSHBU PATEL NP-BC

Nurse Practitioner (Family)

930 ELK GROVE TOWN CTR
ELK GROVE VLG, IL 60007

Cook County (800) 323-8622

VAIDEHI V PATEL

Pharmacist