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

Summer L Park, APN

Individual provider Family Nurse Practitioner · NPI 1114196904

Summer L Park, APN is a Nurse Practitioner in Champaign, Illinois. Qualified in 2007, 19 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2008
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

1801 Windsor Rd
Champaign, IL 61822-6217
Phone: (217) 366-6104
Fax: (217) 366-6106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 845 S Damen Ave, Chicago, IL 60612-3727 — (312) 996-7416

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209006933 (IL)

Record details

NPI number1114196904
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedFebruary 26, 2008
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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