Individual provider Active NPI

Margaret Park, MD

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1396754735
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-113340 Issued in IL
Practice address
405 N Wabash Ave Unit 4403
Chicago, IL 60611-3527
Phone
(312) 955-8787
Fax
(312) 275-8787
NPI assigned
Aug 5, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036-113340 IL Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 036-113340 IL

Addresses

Primary practice location

405 N Wabash Ave Unit 4403
Chicago, IL 60611-3527

Mailing address

405 N Wabash Ave Unit 4403
Chicago, IL 60611-3527
Phone (312) 955-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000281 IL Practitioner - NeurologyPractitioner - Sleep Medicine 4385640440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

405 N Wabash Ave
Unit 4403
Chicago, IL 60611-3527
Phone (312) 955-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-113340ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Park MD SC Current Accepting new patients
Department of Behavioral Sciences Sleep Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: margaret.park.1@33172.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1396754735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 4403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113527",
            "telephone_number": "312-955-8787",
            "fax_number": "312-955-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 4403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113527",
            "telephone_number": "312-955-8787",
            "fax_number": "312-275-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-113340",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "IL",
            "license": "036-113340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.