IndividualActive
Samuel Park, M.D.
NPI 1295187136 · Physical Medicine & Rehabilitation Physician · Dover, DE
Provider details
- NPI number
- 1295187136
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C1-0023852 (DE)
Mailing address
401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
Registry dates
- Enumerated
- 2016-07-03
- Last updated
- 2020-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.