Samuel Park MD

  • NPI 1720050495
According to our database, the NPI number for Samuel Park MD is 1720050495 and activated since 18 years ago. Samuel Park MD is an individual provider who specializes in Anatomic Pathology & Clinical Pathology, and the primary practice location is 1400 Charles St, Rockford, IL 61104. You can also contact Samuel Park MD via telephone number is (815) 489-4267. Provider NPI information was last updated on 07/18/2007.

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Overview of Samuel Park MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/06/2006
  • Last updated: 07/18/2007

Primary Scrop of Practice

  • Taxonomy Code: 207ZP0102X
  • Specialty: Anatomic Pathology & Clinical Pathology
  • License Number: 036063669
  • License State: IL

Provider Mailing Address

  • Address: Po Box 15785
    Loves Park, IL 61132
  • Phone: 815-654-7772
  • Fax: 815-654-7009

Provider Practice Location

  • Address: 1400 Charles St
    Rockford, IL 61104
  • Phone: 815-489-4267
  • Fax: 815-966-3967

Scope of Practice

  • Taxonomy Code: 207ZP0102X
  • Specialty: Anatomic Pathology & Clinical Pathology
  • License Number: 036063669
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036063669
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Samuel Park MD?
  • A: The npi number for Samuel Park MD is 1720050495.
  • Q: What are Samuel Park MD's specialties?
  • A: Samuel Park MD's specialties are Anatomic Pathology & Clinical Pathology and different specialities.
  • Q: What is the medical license for Samuel Park MD?
  • A: The medical license number for Samuel Park MD is 036063669 and issued in IL in USA.
  • Q: Where is Samuel Park MD practice location?
  • A: Samuel Park MD is practicing at 1400 Charles St, Rockford, IL 61104.
  • Q: How to contact Samuel Park MD?
  • A: You can contact Samuel Park MD via 815-489-4267.