Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356904866

David Park, MD is a Sports Medicine in Quincy, Illinois. Graduated from Medical College of Wisconsin in 2018, 8 years ago. Practices with Blessing Hospital, a 413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Medical College of Wisconsin
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4800 Maine St
Quincy, IL 62305-5875
Phone: (217) 214-0444
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 612 N 11th St, Quincy, IL 62301-2662 — (217) 224-9484

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036.160411 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356904866
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024
Mailing address612 N 11th St, Quincy, IL 62301-2662

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2018 (8 years in practice)
Group practice Blessing Hospital — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Quincy