| Samuel Park, MD | |
|
1400 Charles St, Rockford, IL 61104-2224 | |
| (815) 489-4267 | |
| (815) 966-3967 |
| Full Name | Samuel Park |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1400 Charles St, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720050495 | NPI | - | NPPES |
| 036063669 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036063669 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Park, MD Po Box 15785, Loves Park, IL 61132-5785 Ph: (815) 654-7772 | Samuel Park, MD 1400 Charles St, Rockford, IL 61104-2224 Ph: (815) 489-4267 |
Dr. Eva K Drinka, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4267 | |
Dr. Korrin Kathryn Meier, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4290 | |
Hiului Lau, MD Pathology Medicare: Medicare Enrolled Practice Location: 1400 Charles St, Rockford, IL 61104 Phone: 815-489-4267 Fax: 815-966-3967 | |
Roger Hilbert, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1400 Charles St, Rockford, IL 61104 Phone: 815-489-4267 Fax: 815-966-3967 | |
Tarek Jazaerly, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4273 | |
Matthew H Twohig, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 815-971-5000 | |
Dian Feng, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-227-2139 |