Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanseul Park

Individual provider Physical Therapy Assistant · NPI 1194209551

Chanseul Park is a Physical Therapy Assistant in Niles, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

9777 N Greenwood Ave
Niles, IL 60714
Phone: (847) 967-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008362 (IL)

Record details

NPI number1194209551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 21, 2018
Last updated in NPPESSeptember 21, 2018

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