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

Dr. Sandra Park, MD

Individual provider Surgery Physician · NPI 1306372057

Dr. Sandra Park, MD is a General Surgery in Chicago, Illinois. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Licensed in Illinois.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
IL
In the registry since
2017
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

5841 S Maryland Ave Mail Code 6040
Chicago, IL 60637-1443
Phone: (773) 834-7126
Fax: (773) 702-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036174012 (IL)

Record details

NPI number1306372057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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