IndividualActive
John Park, M.D.
NPI 1992750020 · Colon & Rectal Surgery Physician · Park Ridge, IL
Provider details
- NPI number
- 1992750020
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 336056651 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1550 N Northwest Hwy
Suite 107
Park Ridge, IL 60068-1411
Phone: (847) 759-1110
Fax: (847) 759-8273
Approximate (ZIP-level) locationGet directions
Mailing address
1550 N Northwest Hwy
Park Ridge, IL 60068-1411
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2021-12-21
- Certified
- 2021-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.