Individual provider Active NPI

Dennis J. Park, DO

  • Internal Medicine Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1639220445
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.133095 Issued in IL
Practice address
2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Phone
(866) 259-1631
Fax
(855) 618-2629
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 602 NE
Internal Medicine Physician 207R00000X 036.133095 IL Primary

Addresses

Primary practice location

2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290

Mailing address

2 Transam Plaza Dr Ste 410
Oakbrook Terrace, IL 60181-4290
Phone (866) 259-1631

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
I20130625000350 IL Practitioner - Internal Medicine 4284873100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Oakbrook Terrace, IL 60181
Phone (312) 818-4650

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
  • Illinois Home Health Care of Naperville Home health agency, Naperville, IL, CCN 147878
  • Crystal Home Health Care, LLC Home health agency, Des Plaines, IL, CCN 148073
  • Lighthouse Hospice Care LLC Hospice, Naperville, IL, CCN 141713
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133095ILMDInternal Medicine Physician
602NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine CurrentSince May 9, 2016 Accepting new patients
Vpa PC Internal Medicine CurrentSince May 9, 2016 Accepting new patients

Locations

121 Fairfield Way
Ste 207
Bloomingdale, IL 60108
Phone (630) 529-7427

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

2 Transam Plaza Dr
Ste 410
Oakbrook Terrace, IL 60181
Phone (266) 259-1631

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: dennis.park.1@32913.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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1639220445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR STE 410",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814290",
            "telephone_number": "866-259-1631",
            "fax_number": "855-618-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR STE 410",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814290",
            "telephone_number": "866-259-1631",
            "fax_number": "855-618-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DENNIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "602",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.133095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.