Sangtae Park, MD in Skokie, IL

Sangtae Park, MD is a medicare enrolled "Urology" physician in Skokie, Illinois. He went to University Of California, San Francisco School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Urology. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 9711 Skokie Blvd, Ste H, Skokie, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 676-2400.

Sangtae Park is licensed to practice in Texas (license number M0855) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356300487.

Contact Information

	Sangtae Park, MD
	9711 Skokie Blvd, Ste H, Skokie, IL 60077-1384
	(847) 676-2400
	(847) 676-2485

Map and Direction

Physician's Profile

Full Name	Sangtae Park
Gender	Male
Speciality	Urology
Experience	26 Years
Location	9711 Skokie Blvd, Skokie, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sangtae Park attended and graduated from University Of California, San Francisco School Of Medicine in 1999

NPI Data:

NPI Number: 1356300487
Provider Enumeration Date: 03/18/2006
Last Update Date: 12/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6800831603
Enrollment ID: I20071221000141

Medical Identifiers

Medical identifiers for Sangtae Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356300487	NPI	-	NPPES
174078901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	M0855 (Texas)	Primary
208800000X	Urology	036119572 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Swedish Covenant Hospital	Chicago, IL	Hospital
Northwest Community Hospital 1	Arlington heights, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	3022

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sangtae Park allows following entities to bill medicare on his behalf.

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Sangtae Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sangtae Park, MD 9711 Skokie Blvd, Ste H, Skokie, IL 60077-1384 Ph: (847) 676-2400	Sangtae Park, MD 9711 Skokie Blvd, Ste H, Skokie, IL 60077-1384 Ph: (847) 676-2400

Reviews and Comments

Urology Doctors in Skokie, IL

John Milner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9669 Kenton Ave, Ste. 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343
Dr. David L. Mutchnik, M.D. Urology Medicare: Medicare Enrolled Practice Location: 9669 Kenton Ave, Suite 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343
Dr. Steven E. Mutchnik, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9669 Kenton Ave, Suite 608, Skokie, IL 60076 Phone: 847-677-4111 Fax: 847-677-3343
Dr. Sam Lipshitz, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7520 Skokie Blvd, Skokie, IL 60077 Phone: 847-514-2662
Israel Berger, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Suite 306, Skokie, IL 60076 Phone: 847-329-0900 Fax: 847-679-3817
Dr. Lev Elterman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4959 Golf Rd, Skokie, IL 60077 Phone: 847-410-8416 Fax: 224-496-2424

Sangtae Park, MD - Medicare Urology in Skokie, IL