Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124006523 Individual Practitioner Male Practitioner

Dr. Jung I. Park , MD

Specialist • Munster, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jung Park, MD is a registered healthcare professional specializing in Specialist in Munster, IN. Practice services are available at 8825 CRESTWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8825 Crestwood Ave

Munster, IN 463212711

Telephone 2197469600

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Munster, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.7 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Munster, IN (456 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IN 01032400A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
234393 (IN)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 19, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 19, 2013

Registered at 8825 CRESTWOOD AVE, MUNSTER, IN 463212711 (Tel: 2197469600)

📍
Updated Business Mailing Address April 19, 2013

Registered at 8825 CRESTWOOD AVE, MUNSTER, IN 463212711 (Tel: 2197469600)

👤
Provider Name / Credentials Updated April 19, 2013

Recorded as JUNG PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2013

Specialist (License #01032400A in IN)

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Initial NPI Registration & Enumeration January 05, 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: 1124006523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2006
Last Update: April 19, 2013
Sole Proprietor: Yes

Mailing Address

8825 Crestwood Ave

Munster, IN 463212711

Phone: 2197469600

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.