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

John Joohun Park, APRN

Individual provider Internal Medicine Physician · NPI 1477389773

John Joohun Park, APRN is a Nurse Practitioner in Champaign, Illinois. Qualified in 2024, 2 years ago. Practices with Chambana Urgent Care and Walk in Clinic, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1907 W Springfield Ave Ste B
Champaign, IL 61821-3098
Phone: (217) 530-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209030497 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 209030497 (IL)

Record details

NPI number1477389773
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 12, 2024
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Chambana Urgent Care And Walk In Clinic — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Champaign