DR. Theodore Tae-shik Park, M.D. is a family medicine in Chicago, IL with 20 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Theodore Tae-shik Park, M.D. NPI is 1194947648. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2004
The provider's business location address is:
3860 W OGDEN AVE
CHICAGO, IL
ZIP 60623-460
Phone: (872) 588-3000
Fax: (872) 588-3561
The NPI 1194947648 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 5/3/2007 and was last updated on 2/23/2017.