Park Brothers Pain Clinic P.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038011256 Issued in IL

Legal business name

PARK BROTHERS PAIN CLINIC P.C

Practice address

9408 Waukegan Rd
Morton Grove, IL 60053-1352

Phone

(847) 983-4499

Fax

(847) 983-4599

NPI assigned

Aug 19, 2009

Organization subpart

No

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

Authorized official

Name

Yong W ParkNPI 1154560696

Title

President

Phone

(847) 983-4499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yong Woon Park, D.C.

  • Rehabilitation Chiropractor
  • Skokie, IL
  • NPI 1154560696
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1013149475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531352",
            "telephone_number": "847-983-4499",
            "fax_number": "847-983-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531352",
            "telephone_number": "847-983-4499",
            "fax_number": "847-983-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK BROTHERS PAIN CLINIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-983-4499"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038011256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krikor Papazian
• Ake Paramadilok
• Lekha Paramben
• Claire Paras
• Priya Pardiwala
• Chinyoung Park, MD
• Yu Jean Park, PHARMD
• Alexandra Parker, LCSW
• Arun Patel
• Malvika Yogesh Patel, RPH

• Rehabilitation Chiropractor in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.