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

Dr. John J Park, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1992750020

Dr. John J Park, MD is a General Surgery in Park Ridge, Illinois. Qualified in 2001, 25 years ago. Practices with Lm Prasad MD SC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2006
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

1550 N Northwest Hwy Ste 107
Park Ridge, IL 60068-1411
Phone: (847) 759-1110
Fax: (847) 759-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 336056651 (IL)

Record details

NPI number1992750020
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESDecember 21, 2021
Certification dateDecember 19, 2021
Mailing address1550 N Northwest Hwy, Suite 107, Park Ridge, IL 60068-1411

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Lm Prasad M.D S.C — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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