PARK SMILE DESIGN NPI 1639442536

NPI Information

  • NPI: 1639442536
  • Provider Name: PARK SMILE DESIGN
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 300 W ADAMS ST STE 323
    CHICAGO, IL
    ZIP 60606
  • Phone: (312) 332-1450

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NPI Details

PARK SMILE DESIGN is a preferred provider organization in Chicago, IL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PARK SMILE DESIGN NPI is 1639442536. The provider is registered as an organization entity type.

The provider's business location address is:

300 W ADAMS ST STE 323
CHICAGO, IL
ZIP 60606-107
Phone: (312) 332-1450

The provider's authorized official is Sang Park .
The authorized official title is Owner and has the following contact phone number (312) 332-1450.

The enumeration date for this NPI number is 2/23/2012 and was last updated on 2/23/2012.

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
1305R00000XPreferred Provider Organization019025040ILLINOISYes

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: 11/21/2025

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