Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407072960 Individual Practitioner Female Practitioner

Dr. Keum Za Park , MD

General Practice • Elgin, IL

Professional Overview & Biography Verified Profile Summary

Dr. Keum Park, MD is a registered healthcare professional specializing in General Practice in Elgin, IL. Practice services are available at 750 S STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 S State St

Elgin, IL 601237612

Telephone 8477421040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Elgin, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Dr. John Cummins , MD

Psychiatry & Neurology - Psychiatry

NPI 1023427416

Doctor of Medicine (M.D.)

Dr. Romulo Nazareno , MD

Psychiatry & Neurology - Psychiatry

NPI 1083775217

Doctor of Medicine (M.D.)

NPI 1124345269

Doctor of Dental Surgery

NPI 1235465857

Doctor of Medicine (M.D.)

Dr. Hasina Javed , MD

Psychiatry & Neurology - Psychiatry

NPI 1295860062

Doctor of Medicine (M.D.)

Dr. Alejandro Ong , MD

Internal Medicine

NPI 1326174863

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 750 S STATE ST, ELGIN, IL 601237612 (Tel: 8477421040)

📍
Updated Business Mailing Address July 08, 2007

Registered at 55 REGENT DR, GILBERTS, IL 601364056 (Tel: 8476956258)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEUM PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice

🟢
Initial NPI Registration & Enumeration April 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407072960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

55 Regent Dr

Gilberts, IL 601364056

Phone: 8476956258

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.