| Chang Woo Park, MD | |
|
77 N Airlite St, Elgin, IL 60123-4912 | |
| (847) 622-2069 | |
| Not Available |
| Full Name | Chang Woo Park |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 77 N Airlite St, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235757543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036.167509 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 57.248924 (Ohio) | Secondary |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Woo Park, MD 77 N Airlite St, Elgin, IL 60123-4912 Ph: () - | Chang Woo Park, MD 77 N Airlite St, Elgin, IL 60123-4912 Ph: (847) 622-2069 |
Jaskirat Singh Bhatia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 822 Summit St Ste 84, Elgin, IL 60120 Phone: 847-306-7093 Fax: 847-739-0972 | |
John Corcoran, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 | |
Jason R Foreman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 224-783-3957 | |
Dr. Douglas Jackson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 934 Center St, Elgin, IL 60120 Phone: 847-429-8750 Fax: 847-429-8978 | |
Lovender Raju, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-595-3200 | |
Chris Gruber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Provena St Joseph Hospital, 77 N Airlite St, Elgin, IL 60523 Phone: 847-695-3200 | |
Maxime Gilles, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-595-3200 |