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David Park, MD — NPI 1356904866, Quincy, IL | NPI Central

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NPI 1356904866

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David Park, MD

NPI 1356904866 · Sports Medicine (Family Medicine) Physician · Quincy, IL

Provider details

NPI number: 1356904866
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 036.160411 (IL)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

4800 Maine St

Quincy, IL 62305-5875

Phone: (217) 214-0444

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

612 N 11th St

Quincy, IL 62301-2662

Additional practice locations (1)

612 N 11th St
Quincy, IL 62301-2662
Phone: (217) 224-9484

Registry dates

Enumerated: 2019-04-19
Last updated: 2024-07-04
Certified: 2024-07-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.