Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487390308 Individual Practitioner Male Practitioner

Dr. Chang Hwan Park , MD

Internal Medicine • Peoria, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Chang Hwan Park, MD is a certified Internal Medicine practicing in Peoria, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Dr. Park delivers high-quality medical care to the local community at 221 NE GLEN OAK AVE STE W514.

Dr. Park maintains professional affiliations with Carle Health Care Incorporated, Methodist Medical Center Of Illinois and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

221 Ne Glen Oak Ave Ste W514

Peoria, IL 616361000

Telephone 3096725729
Fax 3096725772

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Peoria, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -10.5 yrs vs City Avg
City Avg: 17.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
176 Specialists

Practicing in Peoria, IL (7544 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (7 Years) 7 Yrs
Peoria Specialty Average (17.5 Years) 17.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-24
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036176023

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Methodist Medical Center Of Illinois

815 Main St, Peoria, IL 616021080

Phone: 3096724977

Methodist Medical Center Of Illinois

221 Ne Glen Oak, Peoria, IL 616360001

Phone: 3096725522

Carle Health Care Incorporated

221 Ne Glen Oak Ave, Peoria, IL 616360001

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Methodist Medical Center Of Illinois

600 S 13th St, Pekin, IL 615544936

Phone: 3093530825

Methodist Medical Center Of Illinois

600 S 13th St, Pekin, IL 615544936

Phone: 3096724522

Methodist Medical Center Of Illinois

221 Ne Glen Oak Ave, Peoria, IL 616360001

Carle Health Care Incorporated

600 S 13th St, Pekin, IL 615544936

Carle Health Care Incorporated

5409 N Knoxville Ave, Peoria, IL 616145069

Phone: 3096911000

Methodist Medical Center Of Illinois

815 Main St, Peoria, IL 616021076

Phone: 3096724977

Carle Health Care Incorporated

5409 N Knoxville Ave, Peoria, IL 616145069

Phone: 3096829898

Methodist Medical Center Of Illinois

5409 N Knoxville Ave, Peoria, IL 616145069

Phone: 3096829898

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Riaz Shah , MD

Internal Medicine

NPI 1003823220

Doctor of Medicine (M.D.)

Dr. Rehman Usmani , MD

Internal Medicine

NPI 1114170073

Doctor of Medicine (M.D.)

NPI 1164687968

Doctor of Medicine (M.D.)

Pranitha Kovuri

Internal Medicine

NPI 1205489135
Dr. Kashif Haque , MD

Internal Medicine

NPI 1285679704

Doctor of Medicine (M.D.)

NPI 1518986512

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 24, 2026

Registered at 221 NE GLEN OAK AVE STE W514, PEORIA, IL 616361000 (Tel: 3096725729)

📍
Updated Business Mailing Address June 24, 2026

Registered at 221 NE GLEN OAK AVE STE W514, PEORIA, IL 616361000 (Tel: 3096725729)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2026

Internal Medicine (License #036176023 in IL)

NPI Profile Active May 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2022

Registered at 1108 ROSS CLARK CIR STE 210, DOTHAN, AL 363013022 (Tel: 3347123329)

📍
Updated Business Mailing Address May 12, 2022

Registered at 1108 ROSS CLARK CIR STE 210, DOTHAN, AL 363013022 (Tel: 3347123329)

👤
Provider Name / Credentials Updated May 12, 2022

Recorded as CHANG HWAN PARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 12, 2022

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: 1487390308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2022
Last Update: June 24, 2026
Sole Proprietor: No

Mailing Address

221 Ne Glen Oak Ave Ste W514

Peoria, IL 616361000

Phone: 3096725729

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.