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DR. SO-YEON PARK D.D.S.
NPI 1982741112
Dentist in Chicago, IL

Active since January 30, 2007PECOS Enrolled
2316 W MADISON ST, CHICAGO, IL 60612(312) 491-0601(312) 491-0602 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. So-yeon Park D.d.s. NPPES

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

DR. SO-YEON PARK D.D.S. (NPI 1982741112) is an individual dentist in Chicago, Illinois, licensed in Illinois (019026733) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982741112
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SO-YEON PARKCredential: D.D.S.
Location Address2316 W MADISON STChicago, IL 60612-2228
Mailing Address611 Milwaukee Ave, Ste 185Glenview, IL 60025-7801 · (847) 998-0011
Phone(312) 491-0601
Fax(312) 491-0602
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1982741112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019026733
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2316 W MADISON ST, Chicago, IL 60612
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Other Identifiers 1

Medicaid9179986IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. So-yeon Park D.d.s. 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 60612 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

BRYAN TRAN
Dentist (General Practice)
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
SUZIE ELIZABETH OH DMD
Dentist (General Practice)
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
ASH DENTAL PC
Dentist
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
DR. DIMITRI J. HARALAMPOPOULOS DDS
Dentist
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
DR. SARAH JANE FRAILEY CARLSON DDS
Dentist
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
DR. AFAQ MOHAMMAD KHEIRI DDS
Dentist
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
DR. JOHN VINCKIER DDS
Dentist
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (312) 491-0601
HLM DENTAL PC
Clinic/Center (Dental)
2316 W MADISON ST
CHICAGO, IL 60612
Cook County (847) 414-3309

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 So-yeon Park's NPI number?

The NPI number for So-yeon Park is 1982741112. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is So-yeon Park located?

So-yeon Park practices at 2316 W Madison St, Chicago, IL 60612. The listed phone number is (312) 491-0601.

What is So-yeon Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is So-yeon Park enrolled in Medicare?

Yes. So-yeon Park is registered in the Medicare PECOS enrollment system.

What insurance does So-yeon Park accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list So-yeon Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for So-yeon Park was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.