IndividualActive
Michael Park, DDS
NPI 1568395622 · General Practice Dentistry · North Chicago, IL
Michael Park, DDS is a General Practice Dentistry provider in North Chicago, IL (NPI 1568395622).
Provider details
- NPI number
- 1568395622
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 14290135-8903 (UT)
Practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Phone: (224) 610-4846
Street-level locationGet directions
Mailing address
2010 Kentucky Ave
Great Lakes, IL 60088-4212
Registry dates
- Enumerated
- 2026-06-06
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.