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Patrick Jung Park, MSOM

NPI 1619269701ActiveIndividual· Acupuncturist· Glenview, IL

Acupuncturist (MSOM) in Glenview, Illinois, licensed in IL, with an NPI issued in May 2011.

Overview

NPI1619269701
StatusActive
Entity typeIndividual
CredentialMSOM
Sole proprietorYes
NPI issuedMay 6, 2011
Last updated in NPPESJan 9, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Acupuncturist Primary171100000X198-000083IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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