Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER K PARK, MD
ActivePhysical Medicine & Rehabilitation · ROCKFORD, IL
Registration Details
- NPI Number
- 1952359887
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.007607848988 yrs)
- Last Updated
- May 29, 2013
- License
-
36056126 (IL)
Practice Information
- Address
-
6447 E RIVERSIDE BLVDSUITE 102ROCKFORD, IL, 611144421Browse IL providers · Browse ZIP 61114
- Phone
- 8156391090
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| SCOTT JONES | PT | 1497755573 |
| PIROJNA JANTRA | MD | 1043277841 |
| RYAN C ENKE | M.D. | 1053320317 |
| SEAN P MACKENZIE | M.D. | 1063527349 |
| MRS. CHRISTINE M PEDERSEN | MSPT | 1134237753 |
| DR. KUMUD NIGAM | M.D. | 1073610051 |
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.