Individual provider · Type 1 NPI

Summer L. Park, APN

Family Nurse Practitioner · Champaign, IL

NPI number 1114196904 Active

Practice location

1801 Windsor Rd
Champaign, IL 61822-6217

Fax (217) 366-6106

Mailing address

101 W University Ave
Champaign, IL 61820-3909

Other practice locations

  • 845 S Damen Ave, Chicago, IL 60612-3727 · (312) 996-7416

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209006933 (IL)

Family Nurse Practitioner: Definition to come...

34 other providers at this address

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About NPI 1114196904

Summer L. Park, APN's National Provider Identifier is 1114196904, issued on Feb 26, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Champaign, IL. The record was last updated on Feb 7, 2025.