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Kenneth Park, D.O
NPI 1114928801 · on the registry since 2005 · sole proprietor
Practice
- Address
- 125 Carlisle Ct
Cary, IL 60013 - Phone
- (847) 639-1685
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-13
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 Illinois