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

Peter K Park, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1952359887

Peter K Park, MD is a Physical Medicine & Rehabilitation Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

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

6447 E Riverside Blvd Ste 102
Rockford, IL 61114-4421
Phone: (815) 639-1090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 36056126 (IL)

Record details

NPI number1952359887
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMay 29, 2013
Mailing address6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421

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