Ji-Weon Park, MD
NPI 1952573511ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Lake Forest, IL
Pathology, Anatomic Pathology & Clinical Pathology (MD) with Northwestern Medical Faculty Foundation, practicing in Lake Forest, Illinois. Medicare paid $89,755 for services to 853 patients in 2024. Lists Advocate Condell Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1952573511 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 24, 2008 |
| Last updated in NPPES | Oct 18, 2026 |
| Certified by provider | Mar 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 036137671 | IL |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2010009848 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 853 |
|---|---|
| Services billed | 3,178 across 29 procedure codes |
| Paid by Medicare | $89,755 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliations
- Advocate Condell Medical CenterLibertyville, IL
- Northshore University Healthsystem - Evanston HospitalEvanston, IL
- Northwestern Lake Forest HospitalLake Forest, IL
- Northwestern Medicine McHenryMcHenry, IL
- Northwestern Memorial HospitalChicago, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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