Gloria S. Park, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

4009 N Kildare Ave
303
Chicago, IL 60641-1944

Phone

(847) 912-7587

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Evergreen Home Care LTD

  • Home Health Agency
  • Morton Grove, IL
  • NPI 1750496667
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992755862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 N KILDARE AVE",
            "address_2": "303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411944",
            "telephone_number": "847-912-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 N KILDARE AVE",
            "address_2": "303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411944",
            "telephone_number": "847-912-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "GLORIA",
        "middle_name": "S.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deric Minwoo Park, MD
• Edward J Park, M.D
• Esther Park
• Eun Jo Park
• Eunsong Park, MD
• Gye Young Park, M.D.
• Hannah Rose Park, MOT, OTR/L
• Helen Park, APN
• Herri C Park, O.D.
• Jacob Park, PA-C

• Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.