Nathaniel Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070029632 Issued in IL

Practice address

2400 Chestnut Ave
Glenview, IL 60026-8321

Phone

(847) 657-3520

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nathan Park Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1902767049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 RIVER FRONT DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CHESTNUT AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268321",
            "telephone_number": "847-657-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070029632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "PARK",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Augustina Parisi
• Annette J Park, PTA
• Eunnie Chung Park
• Indok Park, DO
• Little Irene Grace Park, PHARMD
• Patrick Jung Park, MSOM
• Elizabeth E Parker
• Jodie Parks, OTR
• Marguerite Anne Parrilli, OTR/L; MSRS
• Scarlet Lynn Parris

• Physical Therapist in Glenview, IL
• Providers in Glenview, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.