Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Sandra Park , MD

Surgery β€’ Chicago, IL

Active NPI 1306372057 Individual Practitioner Female Practitioner
Practice location in NPPES

5841 S Maryland Ave, Mail Code 6040
Chicago, IL 606371443

Call 7738347126 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5841 S Maryland Ave
Mail Code 6040

Chicago, IL 606371443

Telephone 7738347126
Fax 7737022140
Organization at the Same NPPES Address or Phone
University Of Chicago Facility NPI 1821048786

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Medical College Of Wisconsin

Graduation Year

2017

Industry payments (Open Payments)

Fewer than 11 payment records totaling $302.66 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Park has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Park as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

549 active clinicians are listed under Surgery with a practice address in Chicago, IL (1,523 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

5.1% of these 549 clinicians have the CMS telehealth indicator.

28.4% of these 549 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $302.66.

Manufacturer Payment Nature Product Type Amount ($)
W. L. Gore & Associates, Inc.
Travel and Lodging
In-kind items and services
GORE BIO-A Tissue Reinforcement General $302.66

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IL 036174012

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20260325000101

Enrollment State Jurisdiction

IL

PECOS Control ID

8224373253

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1811377914

Doctor of Medicine (M.D.)

NPI 1174252738

Doctor of Medicine (M.D.)

NPI 1831838879

Doctor of Medicine (M.D.)

NPI 1124511076

Doctor of Medicine (M.D.)

NPI 1538858576
NPI 1720491772

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Business Mailing Address March 16, 2026

Registered at 150 HARVESTER DR STE 300, BURR RIDGE, IL 605275965

πŸ“
Updated Practice Location July 21, 2025

Registered at 5841 S MARYLAND AVE, MAIL CODE 6040, CHICAGO, IL 606371443 (Tel: 7738347126)

πŸ“
Updated Business Mailing Address July 21, 2025

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: 7737021150)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2025

Surgery (license number reported to NPPES: IL 036174012)

πŸ“
Updated Business Mailing Address December 05, 2019

Registered at 800 WASHINGTON ST, BOSTON, MA 021111552 (Tel: 6176365000)

πŸ“
Updated Practice Location November 03, 2019

Registered at 800 WASHINGTON ST, BOSTON, MA 021111552 (Tel: 6176365891)

πŸ“
Updated Business Mailing Address November 03, 2019

Registered at 99 KNEELAND ST APT 714, BOSTON, MA 021112438 (Tel: 7349450868)

βœ…
NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 01, 2017

Registered at 8701 W WATERTOWN PLANK RD, WAUWATOSA, WI 532263548 (Tel: 4114955829)

πŸ“
Business Mailing Address (Initial Record) May 01, 2017

Registered at 3090 GROVE CT, SALINE, MI 481769548 (Tel: 7349450868)

πŸ‘€
Provider Name / Credentials (Initial Record) May 01, 2017

Recorded as SANDRA PARK, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 01, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1306372057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2017
Last Update: March 16, 2026
Sole Proprietor: No

Other Surgery Specialists in Chicago

All Surgery Specialists in Chicago

Mailing Address

150 Harvester Dr Ste 300

Burr Ridge, IL 605275965

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.