Individual
DR. RICHARD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 N AIRLITE ST, SUITE #100, ELGIN, IL 60123-4988
(847) 888-2320
(847) 888-2591
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036083176
IL
207RI0011X
Interventional Cardiology Physician
036083176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083176
—
IL
Enumeration date
08/23/2006
Last updated
04/15/2025
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