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Contact Information

JIMMY K PARK, MD
4440 W 95TH ST
OAK LAWN, IL60453-2600
 Phone: 708-283-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JIMMY K PARK · (Male)

NPI # 1396803144
Status Active
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 09/05/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-110648
  • IL License # 036110648
Hospital affiliation(s)
  • ADVOCATE GOOD SHEPHERD HOSPITAL - (Acute Care)
    450 WEST HIGHWAY 22
    BARRINGTON, IL 60010
  • NORTHWEST COMMUNITY HOSPITAL - (Acute Care)
    800 W CENTRAL ROAD
    ARLINGTON HEIGHTS, IL 60005
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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