MEDICARE: PARK WELLNESS CHIROPRACTIC & ACUPUNCTURE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1356272603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK WELLNESS CHIROPRACTIC & ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	990 GRAND CANYON PKWY STE 415
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 GRAND CANYON PKWY STE 415
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1731
Country	:	US
Telephone Number	:	847-843-8664
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HANPHIL PARK
Credential	:	DC
Telephone Number	:	847-843-8664

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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