Yong Woon Park, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038011256 Issued in IL

Practice address

5049 Birchwood Ave
Skokie, IL 60077-3349

Phone

(773) 802-5656

NPI assigned

Feb 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Park Brothers Pain Clinic P.C

  • Rehabilitation Chiropractor
  • Morton Grove, IL
  • NPI 1013149475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1154560696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 BIRCHWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773349",
            "telephone_number": "773-802-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 BIRCHWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773349",
            "telephone_number": "773-802-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YONG",
        "middle_name": "WOON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038011256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander J Paret, PH.D.
• Ruth Paretzky, MA, SLP, CCC
• Chesca A Pargo, PHARM D
• Rupak D Parikh, M.D.
• Sangtae Park, MD
• Parkview Terrace, LLC
• Parkway Medical Care Il PLLC
• Jaspaul S Parmar, MD
• Paul D Parmet, M.D.
• Samuel Parnass

• Rehabilitation Chiropractor in Skokie, IL
• Providers in Skokie, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.