Active NPI
Richard Park, MD
- Cardiovascular Disease Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036083176
- Practice address
- 87 N Airlite St
Suite #100
Elgin, IL 60123-4988 - Phone
- (847) 888-2320
- Fax
- (847) 888-2591
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036083176 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036083176 | IL | Primary |
Addresses
Primary practice location
87 N Airlite St
Suite #100
Elgin, IL 60123-4988
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036083176 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpark216181@dulyhealthandcare.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Spalding Dr
Suite 3
Naperville, IL 60540-6550
Phone (630) 355-8000
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
25 N Winfield Rd
Winfield, IL 60190-1222
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
Hospital & facility affiliations
- Advocate Sherman Hospital
- Saint Joseph Hospital-Elgin
- St Alexius Medical Center
- Alexian Brothers Medical Center 1
- Saint Francis Hospital-Evanston
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delnor Community Hospital | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
Dept 4698
Carol Stream, IL 60122
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
87 N Airlite St
Ste 100
Elgin, IL 60123
Phone (847) 888-2320
87 N Airlite St
Elgin, IL 60123
Phone (847) 468-1400
304 Randall Rd
Geneva, IL 60134
Phone (630) 232-0610
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
1325 N Meacham Rd
Schaumburg, IL 60173
Phone (630) 790-1700
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 and National Provider Directory roles.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1568579027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 N AIRLITE ST",
"address_2": "SUITE #100",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234988",
"telephone_number": "847-888-2320",
"fax_number": "847-888-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036083176",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036083176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036083176",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpark216181@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "87 N Airlite St",
"address_2": "Suite #100",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601234988",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.