Samuel Park, MD - Pathology in Rockford, IL

Samuel Park, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Rockford, Illinois. Samuel Park is licensed to practice in Illinois (license number 036063669) and his current practice location is 1400 Charles St, Rockford, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 489-4267.

NPI number for Samuel Park is 1720050495 and his current mailing address is Po Box 15785, Loves Park, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720050495.

Contact Information

Samuel Park, MD
1400 Charles St,
Rockford, IL 61104-2224
(815) 489-4267
(815) 966-3967



Physician's Profile

Full NameSamuel Park
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location1400 Charles St, Rockford, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720050495
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 07/18/2007

Medical Identifiers

Medical identifiers for Samuel Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720050495NPI-NPPES
036063669MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 036063669 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Park, MD
Po Box 15785,
Loves Park, IL 61132-5785

Ph: (815) 654-7772
Samuel Park, MD
1400 Charles St,
Rockford, IL 61104-2224

Ph: (815) 489-4267

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› Verified 4 days ago


Pathology Doctors in Rockford, IL

Dr. Eva K Drinka, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 779-696-4267    
Dr. Korrin Kathryn Meier, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 779-696-4290    
Hiului Lau, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 1400 Charles St, Rockford, IL 61104
Phone: 815-489-4267    Fax: 815-966-3967
Roger Hilbert, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Charles St, Rockford, IL 61104
Phone: 815-489-4267    Fax: 815-966-3967
Tarek Jazaerly, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 779-696-4273    
Matthew H Twohig, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 815-971-5000    
Dian Feng, M.D., PH.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-227-2139    

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