Search › Illinois › 208100000X
Peter Park, MD
NPI 1952359887 · on the registry since 2006
Practice
- Address
- 6447 E Riverside Blvd
Suite 102
Rockford, IL 61114 - Phone
- (815) 639-1090
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois