GYE YOUNG PARK M.D. NPI 1174764724

NPI Information

NPI: 1174764724
Provider Name: GYE YOUNG PARK, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
840 S WOOD ST
MC719 ROOM 920N
CHICAGO, IL
ZIP 60612
Phone: (312) 996-8039
Get Directions

Gye Young Park, M.D. is a pulmonary disease internal medicine in Chicago, IL with 34 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Gye Young Park, M.D. NPI is 1174764724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

840 S WOOD ST
MC719 ROOM 920N
CHICAGO, IL
ZIP 60612-325
Phone: (312) 996-8039
Fax: (312) 996-4665

The NPI 1174764724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2009 and was last updated on 1/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	36123031	ILLINOIS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207RP1001X	Internal Medicine	Pulmonary Disease	36123031	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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