Active NPI 1073769162 Individual Practitioner Male Practitioner

Dr. Daniel Kwangwon Park , MD

Orthopaedic Surgery • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Park, MD is a certified Orthopaedic Surgery practicing in Chicago, IL. With approximately 21 years of clinical experience since graduating from Duke University School Of Medicine in 2005, Dr. Park delivers high-quality medical care to the local community at 1611 W HARRISON ST STE 400.

Dr. Park maintains professional affiliations with Orthomidwest, Pllc, Rci (Wrs) Llc, Premier Therapy Centers, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, x-ray of pelvis, 1-2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1611 W Harrison St Ste 400

Chicago, IL 606124861

Telephone 8776326637

Fax 7084095179

Associated Practice Facility / Clinic

🏢 Orthomidwest, Pllc Facility NPI 1407560733

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -0.6 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

290 Specialists

Practicing in Chicago, IL (1064 Statewide)

Telehealth Adoption Rate

5.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (21 Years) 21 Yrs

Chicago Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	337	252	$276.46	$89.60
72110 X-ray of lower and sacral spine, minimum of 4 views	204	190	$156.68	$50.19
72170 X-ray of pelvis, 1-2 views	116	116	$86.95	$27.21
72100 X-ray of lower and sacral spine, 2-3 views	111	76	$121.28	$37.09
72040 X-ray of upper spine, 2-3 views	96	69	$120.02	$38.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	80	$402.31	$131.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	71	$392.16	$123.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$349.00	$108.68
22614 Fusion of additional segment of spine	50	22	$1258.86	$429.35
63048 Partial removal of spine bone with release of spinal cord and/or nerves	49	26	$760.33	$222.54
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	36	34	$3671.08	$845.71
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	25	$869.00	$275.47
72080 X-ray of middle and lower spine, 2 views	28	16	$107.00	$30.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$517.00	$163.42
22612 Fusion of spine in lower back	21	21	$5008.48	$1622.38
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$2693.63	$835.48
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$259.06	$66.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$314.08	$79.77
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$2545.00	$774.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	297	213	$172.00	$89.29
72110 X-ray of lower and sacral spine, minimum of 4 views	202	181	$124.00	$50.75
72100 X-ray of lower and sacral spine, 2-3 views	150	94	$88.39	$38.32
72170 X-ray of pelvis, 1-2 views	102	102	$81.00	$28.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	90	$252.00	$124.39
72040 X-ray of upper spine, 2-3 views	91	69	$84.00	$37.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	53	$322.27	$130.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	59	58	$4553.97	$918.01
63048 Partial removal of spine bone with release of spinal cord and/or nerves	59	34	$1659.05	$232.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$254.00	$114.63
22614 Fusion of additional segment of spine	39	22	$1409.23	$433.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	37	26	$675.51	$269.83
22612 Fusion of spine in lower back	34	32	$4424.56	$1647.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$386.67	$169.50
22842 Placement of stabilizing device to back, 3-6 spine bone segments	26	24	$4290.15	$811.84
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	19	$4226.30	$836.27
72070 X-ray of middle spine, 2 views	17	14	$86.00	$31.87
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	17	15	$1470.00	$503.27
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$191.69	$67.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$444.50	$178.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$261.73	$86.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	367	260	$172.00	$91.73
72110 X-ray of lower and sacral spine, minimum of 4 views	219	199	$124.00	$52.08
72100 X-ray of lower and sacral spine, 2-3 views	170	101	$88.15	$37.95
72170 X-ray of pelvis, 1-2 views	130	130	$80.92	$28.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	96	$252.00	$128.28
72040 X-ray of upper spine, 2-3 views	92	72	$83.70	$40.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$254.00	$117.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	63	$322.74	$140.57
63048 Partial removal of spine bone with release of spinal cord and/or nerves	66	35	$1551.76	$230.42
22614 Fusion of additional segment of spine	63	34	$1382.48	$413.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	56	53	$4461.18	$843.93
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	50	36	$666.32	$275.35
22612 Fusion of spine in lower back	36	35	$4286.22	$1704.65
22842 Placement of stabilizing device to back, 3-6 spine bone segments	35	31	$4182.29	$790.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$385.00	$175.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$442.33	$198.18
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$202.69	$69.01
22840 Placement of stabilizing device to back of 1 spine bone in neck	25	25	$4053.76	$855.33
72070 X-ray of middle spine, 2 views	22	19	$86.23	$30.14
22633 Fusion of spine in lower back with partial removal of spine bone and disc	20	18	$5907.60	$1871.10
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	19	17	$782.27	$266.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$255.93	$81.47
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	12	12	$1484.67	$493.32
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$3787.00	$820.69
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	11	$4805.50	$1902.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	337	246	$172.43	$93.63
72110 X-ray of lower and sacral spine, minimum of 4 views	244	225	$124.00	$51.57
72170 X-ray of pelvis, 1-2 views	154	153	$81.00	$28.82
72100 X-ray of lower and sacral spine, 2-3 views	146	95	$89.27	$39.71
72040 X-ray of upper spine, 2-3 views	109	84	$84.46	$39.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	90	$252.00	$135.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$254.00	$116.09
22614 Fusion of additional segment of spine	65	28	$1365.00	$441.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	64	$338.43	$142.11
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	36	$1543.25	$241.37
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	50	48	$4368.20	$912.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$600.08	$208.39
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	25	$715.00	$276.97
22612 Fusion of spine in lower back	32	29	$4428.44	$1691.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$385.00	$171.81
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	25	$4190.46	$860.10
72100 X-ray of lower and sacral spine, 2-3 views	24	17	$22.00	$11.49
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$206.91	$70.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$297.04	$81.28
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$4409.00	$819.82
72070 X-ray of middle spine, 2 views	19	12	$87.00	$33.90
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	12	$4077.23	$769.00
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	11	$5293.25	$1726.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	172	$172.01	$78.07
72110 X-ray of lower and sacral spine, minimum of 4 views	161	140	$123.79	$48.58
72100 X-ray of lower and sacral spine, 2-3 views	112	73	$88.56	$39.01
72170 X-ray of pelvis, 1-2 views	98	96	$80.78	$28.16
72040 X-ray of upper spine, 2-3 views	94	60	$84.00	$39.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	70	$252.00	$112.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	59	$332.89	$142.30
63048 Partial removal of spine bone with release of spinal cord and/or nerves	62	34	$1600.32	$243.67
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	61	38	$682.00	$303.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$254.00	$108.43
22614 Fusion of additional segment of spine	45	22	$1388.93	$457.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	42	42	$4463.71	$904.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$385.00	$173.56
22612 Fusion of spine in lower back	27	27	$4306.67	$1766.49
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$172.50	$54.53
22840 Placement of stabilizing device to back of 1 spine bone in neck	23	23	$4338.17	$888.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	19	$471.29	$213.68
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	20	13	$2500.00	$467.62
72100 X-ray of lower and sacral spine, 2-3 views	20	16	$22.00	$11.88
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$4343.89	$893.17
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$5000.00	$1984.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$259.40	$80.59
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$6000.00	$2143.25
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$4500.00	$855.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	221	$155.21	$74.54
72110 X-ray of lower and sacral spine, minimum of 4 views	190	167	$124.00	$50.63
72040 X-ray of upper spine, 2-3 views	124	85	$83.27	$34.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	99	$224.26	$108.73
72100 X-ray of lower and sacral spine, 2-3 views	108	86	$88.19	$35.73
72170 X-ray of pelvis, 1-2 views	88	87	$81.00	$32.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	77	$278.49	$142.00
63048 Partial removal of spine bone with release of spinal cord and/or nerves	65	40	$1600.31	$240.99
22614 Fusion of additional segment of spine	57	28	$1315.30	$452.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$340.10	$165.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$237.61	$109.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	30	$599.83	$292.17
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	46	46	$4418.80	$946.98
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$122.00	$53.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$203.10	$79.99
72100 X-ray of lower and sacral spine, 2-3 views	26	19	$22.00	$11.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$340.04	$210.52
72080 X-ray of middle and lower spine, 2 views	24	20	$77.50	$30.74
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	24	$4120.00	$882.97
22612 Fusion of spine in lower back	24	24	$4257.00	$1686.54
72148 MRI scan of lower spinal canal	22	21	$800.00	$218.11
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	19	17	$1445.74	$554.58
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	13	$2301.22	$437.40
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$3882.67	$878.27
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$4781.22	$1846.19
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$4087.73	$791.16
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	11	$1424.77	$508.90
72040 X-ray of upper spine, 2-3 views	13	12	$22.00	$11.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	365	263	$135.64	$73.99
72110 X-ray of lower and sacral spine, minimum of 4 views	271	229	$124.00	$48.79
72170 X-ray of pelvis, 1-2 views	152	152	$81.00	$31.54
72100 X-ray of lower and sacral spine, 2-3 views	122	94	$89.00	$35.12
72040 X-ray of upper spine, 2-3 views	110	78	$84.00	$32.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$196.00	$111.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	84	$200.09	$109.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	90	51	$1583.11	$243.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	71	$245.49	$141.93
22614 Fusion of additional segment of spine	67	35	$1429.43	$450.19
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	65	65	$4544.74	$937.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	61	$330.88	$209.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$297.00	$169.40
22612 Fusion of spine in lower back	39	37	$4599.54	$1756.91
22842 Placement of stabilizing device to back, 3-6 spine bone segments	36	35	$4068.06	$878.52
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	21	$3934.94	$282.17
72100 X-ray of lower and sacral spine, 2-3 views	31	21	$22.00	$11.54
72148 MRI scan of lower spinal canal	29	28	$800.00	$215.45
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$102.00	$52.92
72070 X-ray of middle spine, 2 views	22	20	$87.00	$33.26
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	17	$3973.50	$805.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$138.00	$54.76
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	14	$4577.40	$1950.08
72080 X-ray of middle and lower spine, 2 views	14	11	$80.00	$32.27
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	11	11	$13613.36	$560.06
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	11	11	$2168.55	$461.05
22310 Closed treatment of broken spine bones with casting or bracing	11	11	$806.55	$288.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	375	260	$127.24	$73.49
72110 X-ray of lower and sacral spine, minimum of 4 views	258	231	$114.29	$48.71
72100 X-ray of lower and sacral spine, 2-3 views	170	127	$81.09	$34.33
72170 X-ray of pelvis, 1-2 views	150	150	$76.33	$31.59
72040 X-ray of upper spine, 2-3 views	126	93	$82.73	$32.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$191.01	$109.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	93	$184.37	$106.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	90	$220.48	$140.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	75	$319.46	$207.23
63048 Partial removal of spine bone with release of spinal cord and/or nerves	64	41	$1544.14	$237.04
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	64	62	$4462.06	$851.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$293.47	$167.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	49	35	$4628.41	$293.72
22614 Fusion of additional segment of spine	47	28	$1449.70	$438.94
22612 Fusion of spine in lower back	38	37	$4534.05	$1706.51
72148 MRI scan of lower spinal canal	36	34	$800.00	$219.59
22310 Closed treatment of broken spine bones with casting or bracing	36	36	$851.50	$300.77
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$106.66	$52.03
22840 Placement of stabilizing device to back of 1 spine bone in neck	28	28	$4094.43	$829.31
22842 Placement of stabilizing device to back, 3-6 spine bone segments	26	26	$4380.38	$854.38
72070 X-ray of middle spine, 2 views	24	21	$79.96	$34.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	19	$170.40	$76.57
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$4777.58	$1849.62
72080 X-ray of middle and lower spine, 2 views	19	15	$76.84	$30.55
72040 X-ray of upper spine, 2-3 views	19	11	$22.00	$11.45
22845 Placement of stabilizing device to front, 2-3 spine bone segments	18	18	$3973.50	$822.54
72100 X-ray of lower and sacral spine, 2-3 views	18	14	$22.00	$11.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$131.29	$54.36
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	16	13	$2272.13	$448.87
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$5088.00	$1883.51
72141 MRI scan of upper spinal canal	14	14	$850.00	$224.29

Medical Specialties & State Licenses

CMS Verified: 2026-04-02

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301097927

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License IL 036131466

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Rci (Wrs) Llc

401 15th St Se, Demotte, IN 463109043

Phone: 2199873073

Orthomidwest, Pllc

1611 W Harrison St, Chicago, IL 606124861

Phone: 8776326637

Orthomidwest, Pllc

9200 Calumet Ave, Munster, IN 463212885

Phone: 8776326637

Rci (Wrs) Llc

401 15th St Se, Demotte, IN 463109043

Phone: 2199873073

Premier Therapy Centers, Inc

33010 Northwestern Hwy, West Bloomfield, MI 483223634

Rci (Wrs) Llc

860 Stillwater Pkwy, Crown Point, IN 463075360

Phone: 2196628929

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Doctor of Physical Therapy

Dr. Katherine Fernandez , DPT

Physical Therapist

NPI 1013841931

Doctor of Physical Therapy

Dr. Terah Hennick , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1023647831

Doctor of Medicine (M.D.)

Dr. Jared Sivinski , DPT

Physical Therapist

NPI 1033932439

Doctor of Physical Therapy

Rosa Del Pino , PT

Physical Therapist

NPI 1043563810

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2026

Orthopaedic Surgery (License #036131466 in IL)

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Updated Practice Location December 01, 2025

Registered at 1611 W HARRISON ST STE 400, CHICAGO, IL 606124861 (Tel: 8776326637)

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Updated Business Mailing Address December 01, 2025

Registered at PO BOX 735263, CHICAGO, IL 606735263

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Updated Business Mailing Address October 27, 2020

Registered at 26025 LAHSER RD FL 2, SOUTHFIELD, MI 480332606 (Tel: 3124973437)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2020

Orthopaedic Surgery (License #4301097927 in MI)

✅

NPI Profile Active January 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2013

Registered at 26025 LAHSER RD, 2ND FLOOR, SOUTHFIELD, MI 480332606 (Tel: 2486631900)

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Updated Business Mailing Address January 16, 2013

Registered at 1465 RALIEGH PL, TROY, MI 480847056 (Tel: 3124973437)

👤

Provider Name / Credentials Updated January 16, 2013

Recorded as DANIEL PARK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2013

Orthopaedic Surgery (License #125049352 in IL)

🟢

Initial NPI Registration & Enumeration August 08, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073769162

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2008

Last Update: April 02, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735263

Chicago, IL 606735263

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.