Search › Michigan › 1041C0700X
Chaewon Park
NPI 1023889599 · on the registry since 2024
Practice
- Address
- 77 Victor St
Highland Park, MI 48203 - Phone
- (313) 252-1950
- Organisation at this address
- Ruth Ellis Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan