Park, Richard

Park, Richard is an individual health care provider with primary practice located at 87 N Airlite St Suite #100, Elgin IL 60123-4988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Park, Richard can be contacted via phone (847) 888-2320.

Contact Information

Primary practice address
87 N Airlite St Suite #100 Elgin IL 60123-4988
Phone: (847) 888-2320
Fax: (847) 888-2591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036083176 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036083176 Illinois

Profile Details

NPI number 1568579027
LBN Legal business name Park, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568579027 NPPES
Illinois MEDICAID 036083176

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