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Deactivated NPI 1417031394 Deactivated / Inactive NPI Male Practitioner

Dr. Soon Ho Park , MD

Anesthesiology • Mchenry, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Soon Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2006
NPI Deactivation Date October 30, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Soon Park, MD was a registered Anesthesiology practicing in Mchenry, IL. Throughout an active medical career spanning 18 years, Dr. Park provided care at the practice location at 4309 W MEDICAL CENTER DR until profile deactivation on 2024-10-30.

Practice Location & Contact Primary Location

Practice Address

4309 W Medical Center Dr
Suite A201

Mchenry, IL 600508419

Telephone 8153850084
Fax 8153858968
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Mchenry, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Mchenry, IL (2670 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

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

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

18 Associated Practitioners
Margaret Dosemagen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043394802

Certified Registered Nurse Anesthetist

NPI 1073697033

Doctor of Medicine (M.D.)

NPI 1144425224

Doctor of Medicine (M.D.)

Gregory Zankle , CRNA

Nurse Anesthetist, Certified Registered

NPI 1205910155

Certified Registered Nurse Anesthetist

NPI 1235213174

Doctor of Medicine (M.D.)

NPI 1255564142

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4309 W MEDICAL CENTER DR, SUITE A201, MCHENRY, IL 600508419 (Tel: 8153850084)

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Updated Business Mailing Address July 08, 2007

Registered at 4309 W MEDICAL CENTER DR, SUITE A201, MCHENRY, IL 600508419 (Tel: 8153850084)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SOON PARK, M.D.

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

Anesthesiology

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Initial NPI Registration & Enumeration October 25, 2006

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: 1417031394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 08, 2007
Deactivation Date: October 30, 2024

Mailing Address

4309 W Medical Center Dr, Suite A201

Mchenry, IL 600508419

Phone: 8153850084

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.