Individual provider Active NPI

Michellai Kierra Parks, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1619606696
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.175760 Issued in IL
Practice address
1411 S Michigan Ave
Chicago, IL 60605-2810
Phone
(312) 454-2700
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.175760 IL Primary

Addresses

Primary practice location

1411 S Michigan Ave
Chicago, IL 60605-2810

Mailing address

8455 S Phillips Ave
Chicago, IL 60617-1971
Phone (773) 726-7274

Other practice location 1

1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-5000

Other practice location 2

1645 W Jackson Blvd Ste 200
Chicago, IL 60612-3227
Phone (312) 942-2200

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
I20250918000344 IL Practitioner - Pediatric Medicine 1850774308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Wisconsin, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1411 S Michigan Ave
Chicago, IL 60605-2810

1700 W Van Buren St
Suite 161
Chicago, IL 60612-3228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.175760ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Rush University Medical Group Pediatrics CurrentSince Sep 1, 2025 Accepting new patients

Locations

1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200

1411 S Michigan Ave
Fl 5
Chicago, IL 60605
Phone (312) 454-2700

1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700

600 S Paulina St
Ste 403
Chicago, IL 60612
Phone (312) 942-0312

1645 W Jackson Blvd
Ste 200
Chicago, IL 60612
Phone (312) 492-7337

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

Organizations & group practices 2

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1619606696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 S PHILLIPS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171971",
            "telephone_number": "773-726-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810",
            "telephone_number": "312-454-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123801",
            "country_code": "US",
            "telephone_number": "312-942-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 W Jackson Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123227",
            "country_code": "US",
            "telephone_number": "312-942-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MICHELLAI",
        "middle_name": "KIERRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.175760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.