Park Rheumatology, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PARK RHEUMATOLOGY, LLC

Practice address

1800 Hollister Dr Ste 102
Libertyville, IL 60048-5265

Phone

(847) 856-8090

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chinyoung Park, M.D.

Title

Physician

Phone

(847) 856-8090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376629006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-856-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-856-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHINYOUNG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-856-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Murphy Papierniak, LCPC
• Sandra Pardys
• Preyanshu M Parekh, DO
• Park Avenue Dental Professionals LLC
• Park Avenue Dental Professionals, PC
• Danbee A Park, APN
• Carolyn Parker, M.A.
• Emma Elizabeth Parker, BA
• James Everett Parkhill, DMD
• Kyle Wade Parmelee, MSW, LCSW

• Specialist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.