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

Dr. Kenneth William Park, DO

Individual provider Family Medicine Physician · NPI 1114928801

Dr. Kenneth William Park, DO is a Family Medicine Physician in Cary, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

125 Carlisle Ct
Cary, IL 60013-1908
Phone: (847) 639-1685
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036055468 (IL)

Record details

NPI number1114928801
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 3, 2005
Last updated in NPPESAugust 13, 2009
Mailing address125 Carlisle Ct, Cary, IL 60013-1908