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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL PARK, MD

Active

SAMUEL PARK, MD is a Anatomic Pathology & Clinical Pathology healthcare provider located in ROCKFORD, Illinois. NPI 1720050495 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · ROCKFORD, IL

Registration Details

NPI Number
1720050495
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2006 (20.488519587493 yrs)
Last Updated
Jul 18, 2007
License
036063669 (IL)

Practice Information

Address
1400 CHARLES ST
ROCKFORD, IL, 611042224
Browse IL providers · Browse ZIP 61104
Phone
8154894267
Fax
8159663967
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in ROCKFORD, IL

Name Credential NPI
DR. DENNIS NAVARRO DOLLETON MD 1922088962
DAVID LAIB MD 1881674299
SARA FLEMING MD 1972575157
REBEKHA NEU MD 1861464067
ROGER HILBERT MD 1457323628
HIULUI LAU MD 1316919103
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.