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

Jesse K Park, MD

Individual provider Internal Medicine Physician · NPI 1215042072

Jesse K Park, MD is an Internal Medicine in Burr Ridge, Illinois. Graduated from Eastern Virginia Medical School in 1987, 39 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
39
Trained at
Eastern Virginia Medical School
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

100 Tower Dr Ste 105
Burr Ridge, IL 60527
Phone: (630) 325-8681
Fax: (630) 325-3936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036080235 (IL)

Record details

NPI number1215042072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESApril 14, 2010
Mailing address100 Tower Dr, Suite 105, Burr Ridge, IL 60527

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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