CHUL PARK (NPI# 1609186543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609186543 |
| Entity Type | Individual |
| Full Name | CHUL PARK |
| Practice Address |
2133 W Lexington St 2nd Floor Chicago IL 60612-3707 |
| Practice Telephone | 3127465107 |
| Practice Fax Number | 3127466526 |
| Mailing Telephone | 3127465107 |
| Mailing Fax Number | 3127466526 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
RN12010201 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RADON MEASUREMENT TECH | RN12010201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531858 | Chul Jin Park | Student in an Organized Health Care Education/Training Program | 160 Convent Ave, New York, NY 10031-9101 | 2019-11-02 |
| 1134274491 | Chul K Park | Pharmacist | 3323 W Olympic Blvd, Los Angeles, CA 90019-2339 | 2007-01-24 |
| Street Address |
2133 W LEXINGTON ST 2ND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437451374 | Maria Rosa | Preventive Medicine | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-11-29 |
| 1194178566 | Chicago City Of | Technician, Other | 2133 W Lexington St, Chicago, IL 60612-3707 | 2016-07-20 |
| 1013360429 | Paul Diaz | Technician, Other | 2133 W Lexington St, Chicago, IL 60612-3707 | 2016-07-20 |
| 1851694095 | Pamela Kimble | Preventive Medicine | 2133 W Lexington St, 2nd Floor, Chicago, IL 60612-3707 | 2010-12-09 |
| 1801106091 | Patricia Delaware | Case Manager/Care Coordinator | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-10-21 |
| 1699085506 | Ralph Murphy | Preventive Medicine | 2133 W Lexington St, 2nd Floor, Chicago, IL 60612-3707 | 2010-10-13 |
| 1073823928 | Armando Salinas | Preventive Medicine | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-10-13 |
| 1740590652 | Rick Lara | Preventive Medicine | 2133 W Lexington St, 2nd Floor, Chicago, IL 60612-3707 | 2010-10-13 |
| 1215247176 | Sergio Vera | Preventive Medicine | 2133 W Lexington St, 2nd Floor, Chicago, IL 60612-3707 | 2010-10-13 |
| 1124338132 | Valeria Hubbard | Registered Nurse | 2133 W Lexington St, 2nd Floor, Chicago, IL 60612-3707 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457776361 | Caroline Marie Jung | Preventive Medicine | 1817 W Berwyn Ave # 3, Chicago, IL 60640-1005 | 2014-02-28 |
| 1568690899 | Sargon Audisho | Preventive Medicine | 4143 N Claremont Ave, Apt 2, Chicago, IL 60618-2919 | 2009-06-25 |
| 1194910125 | Chicago Dept of Public Health | Preventive Medicine | 2849 N Clark St, Lakeview N H C, Chicago, IL 60657 | 2007-09-12 |
| 1508071010 | Violeta P Dulanas | Preventive Medicine | 4958 W Madison St, Chicago, IL 60644-3541 | 2007-05-10 |
| 1073727400 | Lourdes Mella Hilao | Preventive Medicine | 4243 W Fullerton Ave, Chicago, IL 60639-2049 | 2007-05-08 |
| 1518021153 | Westside C.d.c | Preventive Medicine | 2160 W. Ogden, Westside C.d.c, Chicago, IL 60604 | 2006-12-20 |
| 1821159625 | 31st Std Clinic | Preventive Medicine | 530 E 31st St, Std 31st Street Clinic, Chicago, IL 60616-4008 | 2006-12-13 |
| 1699196980 | Arlene Hankinson | Preventive Medicine | 333 S State St Ste 200, Chicago, IL 60604-3946 | 2014-01-03 |
| 1528321254 | Juleigh Marie Nowinski Konchak | Preventive Medicine | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2012-06-18 |
| 1255637500 | Paul Eldon Savage | Preventive Medicine | 150 E Huron St, Suite 802, Chicago, IL 60611-2999 | 2011-02-03 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.