Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568395622 Individual Practitioner Male Practitioner

Dr. Michael Park , DDS

Dentist - General Practice • North Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in North Chicago, IL. Practice services are available at 3001 GREEN BAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3001 Green Bay Rd

North Chicago, IL 600643048

Telephone 2246104846
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in North Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
21 Specialists

Practicing in North Chicago, IL (5581 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

CMS Verified: 2026-06-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 14290135-9926

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 14290135-8903

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Shane Lawson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1124268776

Certified Registered Nurse Anesthetist

Jennifer Olden , LCSW

Social Worker - Clinical

NPI 1316215056

Licensed Clinical Social Worker

NPI 1679146526

Doctor of Dental Surgery

NPI 1720727639

Doctor of Dental Medicine

Dr. Mitchell Carey , DDS

Dentist - General Practice

NPI 1952876997

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 06, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2026

Registered at 3001 GREEN BAY RD, NORTH CHICAGO, IL 600643048 (Tel: 2246104846)

📍
Updated Business Mailing Address June 06, 2026

Registered at 2010 KENTUCKY AVE, GREAT LAKES, IL 600884212 (Tel: 6263726593)

👤
Provider Name / Credentials Updated June 06, 2026

Recorded as MICHAEL PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2026

Dentist (License #14290135-8903 in UT)

🟢
Initial NPI Registration & Enumeration June 06, 2026

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: 1568395622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2026
Last Update: June 06, 2026
Sole Proprietor: No

Mailing Address

2010 Kentucky Ave

Great Lakes, IL 600884212

Phone: 6263726593

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.