MS. LILLY H PARK (NP) – Nurse Practitioner, NPI 1346929601

MS. LILLY H PARK (NP) is a healthcare provider. based in Lockport, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209027841 (IL). The NPI Number for MS. LILLY H PARK (NP) is 1346929601

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MS. LILLY H PARK (NP)
NPI
1346929601
Phone
(708) 253-5020
Address
16127 BENT GRASS DR
Enumeration Date
13 July 2023
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084249710
Graduation Year
2023 (3 years ago)
PAC ID
7911361316
Group Practice PAC ID
2365606563
Professional Enrollment ID
I20230919002163
Address ID
IL604151429CH10604HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. LILLY H PARK (NP)

  • 16127 BENT GRASS DR

    LOCKPORT, IL 604414615

    Phone: (708) 253-5020

    Type: Mailing

  • 10604 SOUTHWEST HWY STE 200

    CHICAGO RIDGE, IL 604152717

    Phone: (708) 424-9710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 127 Open Payments records for all available years, with a total value of $3,199.

Total Amount is formed as General ($3,199) + Research ($0) + Ownership ($0) = $3,199.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($343).

Total Amount

$3,199

General + Research + Ownership

Payments

127

Total payment records

General Amount

$3,199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230919002163INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365606563View full group profile
NameSpecialtyState
Internal Medicine, Hematology/OncologyIL
Gynecological OncologyIL
Gynecological Oncology, Obstetrics/GynecologyIL
Hematology/Oncology, Internal MedicineIL
Radiation OncologyIL
Radiation OncologyIL
Physician AssistantIL
H E M A T O L O G Y/ O N C O L O G YIL
-IL
-IL

Reviews

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Frequently asked questions

Can I verify MS. LILLY H PARK (NP) with an NPI only?
You can start verification with NPI 1346929601 for MS. LILLY H PARK (NP), then check state licensing separately.
Is MS. LILLY H PARK (NP) still practicing?
MS. LILLY H PARK (NP) is currently listed as active in the public NPI registry.
What is MS. LILLY H PARK (NP) best known for clinically?
Directory data describes MS. LILLY H PARK (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MS. LILLY H PARK (NP) serve?
MS. LILLY H PARK (NP)'s listing highlights Lockport, Illinois; more addresses can appear in NPPES.
Is the information about MS. LILLY H PARK (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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