Park, Peter K

Park, Peter K is an individual health care provider with primary practice located at 6447 E Riverside Blvd Suite 102, Rockford IL 61114-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Park, Peter K can be contacted via phone (815) 639-1090.

Contact Information

Primary practice address
6447 E Riverside Blvd Suite 102 Rockford IL 61114-4421
Phone: (815) 639-1090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 36056126 Illinois

Profile Details

NPI number 1952359887
LBN Legal business name Park, Peter K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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