SUN PARK (NPI# 1942771415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942771415 |
| Entity Type | Individual |
| Full Name | SUN PARK |
| Practice Address |
1847 Hawk Ln Elk Grove Village IL 60007-6906 |
| Practice Telephone | 8473310792 |
| Mailing Telephone | 8473310792 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018502 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1134139397 | Sun Kun Park | Dentist | 1223 Annapolis Rd Ste A, Odenton, MD 21113-1328 | 2006-08-09 |
| 1992737548 | Sun Park | Psychiatry & Neurology | 26184 W. Outer Dr, Lincoln Park, MI 48146-2084 | 2006-07-06 |
| 1043213663 | Sun Woo Park | Pediatrics | 88 Fort Couch Rd, Bethel Park, PA 15241-1837 | 2005-05-27 |
| 1689210049 | Sun Park | Occupational Therapist | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2019-11-20 |
| 1801326152 | Sun H Park | Chiropractor | 845 Broad Ave, Ridgefield, NJ 07657-1002 | 2017-06-19 |
| 1992056311 | Sun Ja Park | Dietitian, Registered | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-25 |
| 1316224207 | Sun Young Park | Dentist | 102 Elden St, Ste #17, Herndon, VA 20170-4868 | 2011-11-07 |
| 1457632994 | Sun H. Park | Dentist | 11316 76th Rd, 1f, Forest Hills, NY 11375-7236 | 2011-08-29 |
| Street Address |
1847 HAWK LN |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-6906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059446 | Amber Schwarzinger | Nurse Practitioner | 800 Biesterfield Rd Ste 4011, Elk Grove Village, IL 60007-3372 | 2020-09-23 |
| 1205440948 | Jenice Lopez | Nurse Practitioner | 1112 Elmwood Ln, Elk Grove Village, IL 60007-4561 | 2020-09-01 |
| 1306328406 | Dorothy Ann Mccarron | Nurse Practitioner | 800 Biesterfield Rd Dept of Palliative Care, Elk Grove Village, IL 60007-3361 | 2018-09-05 |
| 1881171296 | Tina Francine Oraham | Nurse Practitioner | 955 Beisner Rd # 1509, Elk Grove Village, IL 60007-3475 | 2018-07-27 |
| 1770096489 | Shiji Benny | Nurse Practitioner | 800 Biesterfield Rd Ste 3007, Elk Grove Village, IL 60007-3371 | 2017-11-16 |
| 1083166409 | Lori Tomaszewski | Nurse Practitioner | 800 Biesterfield Rd Ste 705a, Elk Grove Village, IL 60007-3361 | 2016-11-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1154749620 | Jennifer Trsar | Nurse Practitioner | 1901 Albany Ct, Elk Grove Village, IL 60007-2782 | 2014-04-02 |
| 1669716452 | Renee P Spacapan | Nurse Practitioner | 901 Biesterfield Rd Ste 402, Elk Grove Village, IL 60007-7331 | 2012-11-16 |
| 1184705626 | Denise Evans | Nurse Practitioner | 930 Elk Grove Town Center, Elk Grove Village, IL 60007 | 2006-10-18 |
| Find all providers in ELK GROVE VILLAGE | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
Please comment or provide details below to improve the information on SUN PARK.
| 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.