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

Sangtae Park, MD

Individual provider Urology Physician · NPI 1356300487

Sangtae Park, MD is an Urology in Skokie, Illinois. Graduated from University of California, San Francisco School of Medicine in 1999, 27 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Texas.

Years since qualifying
27
Trained at
University of California, San Francisco School of Medicine
Licensed in
IL, TX
In the registry since
2006
Specialties on file
2
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

9711 Skokie Blvd Ste H
Skokie, IL 60077-1384
Phone: (847) 676-2400
Fax: (847) 676-2485
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036119572 (IL)
Urology Physician Taxonomy 208800000X · Licence M0855 (TX)

Record details

NPI number1356300487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2006
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address9711 Skokie Blvd, Ste H, Skokie, IL 60077-1384

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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