Park, Richard
Park, Richard is an individual health care provider with primary practice located at 87 N Airlite St Suite #100, Elgin IL 60123-4988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Park, Richard can be contacted via phone (847) 888-2320.Contact Information
Primary practice address
87 N Airlite St Suite #100
Elgin IL 60123-4988
Phone: (847) 888-2320
Fax: (847) 888-2591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036083176 | Illinois |
Profile Details
| NPI number | 1568579027 |
|---|---|
| LBN Legal business name | Park, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Aug 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568579027 | NPPES |
| Illinois | MEDICAID | 036083176 |
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