DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHAEL PARK DDS

MEDICARE: MICHAEL PARK DDS
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
11223G0001XGeneral Practice Dentistry14290135-8903UT
21223G0001XGeneral Practice Dentistry14290135-9926UT

General Provider Information

NPI Number : 1568395622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PARK DDS
Provider Business Mailing Address
First Line : 2010 KENTUCKY AVE
Second Line :
City : GREAT LAKES
State : IL
Zip : 60088-4212
Country : US
Telephone Number : 626-372-6593
Fax Number :
Provider Business Practice Location Address
First Line : 3001 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3048
Country : US
Telephone Number : 224-610-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

Similar Medicare Providers

1821613761 — ANA R TOMLINSON APRN
Practice Location Address:
3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048
Practice Phone: 954-632-2768
Practice Fax:
1508972530 — MRS. FRANCISCA E REMOT
Practice Location Address:
3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048
Practice Phone: 847-688-1900
Practice Fax:
1366414120 — DR. SUZANNE THANH CHAU PHARMD, BCPS
Practice Location Address:
3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048
Practice Phone: 847-688-1900
Practice Fax:
1386640290 — DR. SHAKIRA IFE BROWN PHARMD
Practice Location Address:
3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048
Practice Phone: 847-688-1900
Practice Fax:
1699775858 — ROBIN NICOLE HIEBER PHARMD
Practice Location Address:
3001 GREEN BAY RD , PHARMACY DEPARTMENT
NORTH CHICAGO, IL
60064-3048
Practice Phone: 816-898-6094
Practice Fax:
1407842594 — DR. MARTIN BEERMANN M.D.
Practice Location Address:
3001 GREEN BAY RD
NORTH CHICAGO, IL
60064-3048
Practice Phone: 847-688-1900
Practice Fax:

Directions to “ MICHAEL PARK DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.