Meejung Jane Park, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-010605 Issued in IL

Practice address

2001 Midwest Rd
Ste 302
Oak Brook, IL 60523-1343

Phone

(630) 620-9066

Fax

(630) 620-8570

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Balanced Bodies LLCGroup PAC ID 0244426286, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balanced Bodies LLC

  • Physical Therapy Clinic/Center
  • Oakbrook, IL
  • NPI 1285944199
  Medicare reassignment Care Compare group Authorized official
• Centerimt Chicago Il PC

  • Physical Therapist
  • Elmhurst, IL
  • NPI 1184676835
  NPD (past) Authorized official
• Complete Pain Management LLC

  • Rehabilitation Practitioner
  • Oakbrook Terrace, IL
  • NPI 1437244647

  Physical Therapist

  NPD (past)
• Manual Touch Physical Therapy

  • Physical Therapist
  • Wheeling, IL
  • NPI 1932418837
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1003914425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAINT REGIS CT",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265616",
            "telephone_number": "630-748-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST RD",
            "address_2": "STE 302",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231343",
            "telephone_number": "630-620-9066",
            "fax_number": "630-620-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MEEJUNG",
        "middle_name": "JANE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010605",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George S. Panos, D.D.S.
• Vasilios S. Panos, DDS
• Sophia Papageorge-Karvelas, LCPC
• Peter Papagiannopoulos, M.D.
• Jenny Park, O.D.
• Parungao Plastic Surgery, SC
• Anna Pasteris, PT
• Amitkumar Pravinkumar Patel, DMD
• Dhruvi Patel
• Kesha Subhashchandra Patel, MD

• Physical Therapist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.