Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Daniel Kwangwon Park, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1073769162

Dr. Daniel Kwangwon Park, MD is an Orthopedic Surgery in Chicago, Illinois. Graduated from Duke University School of Medicine in 2005, 21 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Michigan.

Years since qualifying
21
Trained at
Duke University School of Medicine
Licensed in
IL, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301097927 (MI)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 036131466 (IL)

Record details

NPI number1073769162
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2008
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing addressPo Box 735263, Chicago, IL 60673-5263

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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