Individual provider Active NPI

Hanphil Park, D.C

  • Chiropractor
  • Des Plaines, IL
National Provider Identifier
1437190709
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010409 Issued in IL
Practice address
9820 Milwaukee Ave # C&D
Des Plaines, IL 60016-1805
Phone
(847) 296-1004
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010409 IL Primary

Addresses

Primary practice location

9820 Milwaukee Ave # C&D
Des Plaines, IL 60016-1805

Mailing address

9820 Milwaukee Ave # C&D
Des Plaines, IL 60016-1805
Phone (847) 296-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060626000279 IL Practitioner - Chiropractic 6305858846 Practice locations: Hoffman Estates, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

990 Grand Canyon Pkwy
Suite 415
Hoffman Estates, IL 60169-1731
Phone (847) 843-8664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Wellness Chiropractic & Acupuncture PC Chiropractor Current Accepting new patients

Locations

990 Grand Canyon Pkwy
Ste 415
Hoffman Estates, IL 60169
Phone (847) 519-0500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1437190709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 MILWAUKEE AVE # C&D",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161805",
            "telephone_number": "847-296-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 MILWAUKEE AVE # C&D",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161805",
            "telephone_number": "847-296-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HANPHIL",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.