{"npi":"1295724144","type":"NPI-1","status":"active","name":{"display":"Dr. Anna Park MD","other":[],"first":"ANNA","last":"PARK","middle":"J","credential":"MD"},"specialty":{"primary_taxonomy":"207WX0120X","primary_taxonomy_description":"Cornea and External Diseases Specialist Physician","slug":"cornea-and-external-diseases-specialist-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"IL","license":"036-107883"},{"code":"207WX0120X","description":"Cornea and External Diseases Specialist Physician","primary":true,"state":"IL","license":"036-107883"}]},"addresses":[{"purpose":"LOCATION","street_1":"2015 N MAIN ST","city":"WHEATON","state":"IL","postal_code":"601873152","country_code":"US","phone":"6306688250","fax":"6306688916"},{"purpose":"MAILING","street_1":"2015 N MAIN ST","city":"WHEATON","state":"IL","postal_code":"601873152","country_code":"US","phone":"6306688250","fax":"6306688916"}],"license":{"state":"IL","number":"036-107883"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036107883","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"P00132918","state":"IL","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040218000971","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"IL","pac_id":"8628963550"}]},"enumeration_date":"2005-10-13","last_updated":"2024-08-26","_meta":{"source":"NPPES","snapshot_date":"2024-08-26","doc_url":"https://findmynpi.com/api"}}