Samuel Park, MD
NPI 1720050495 · Anatomic Pathology & Clinical Pathology Physician · Rockford, IL
Samuel Park, MD is a Anatomic Pathology & Clinical Pathology Physician provider in Rockford, IL (NPI 1720050495).
Provider details
- NPI number
- 1720050495
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036063669 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2007-07-18
Frequently asked questions
- What is Samuel Park's NPI number?
- Samuel Park's National Provider Identifier (NPI) is 1720050495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Park's specialty?
- Samuel Park is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Park located?
- Samuel Park's practice location on file with NPPES is 1400 Charles St, Rockford, IL 61104-2224.
- What is Samuel Park's phone number?
- The practice phone number listed in the NPPES registry for Samuel Park is (815) 489-4267.
- Is Samuel Park's NPI active?
- Yes — Samuel Park's NPI (1720050495) is active in the NPPES registry as of the last update on 2007-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.