Search › Illinois › 111NR0400X
Yong Park, D.C
NPI 1154560696 · on the registry since 2009 · sole proprietor
Practice
- Address
- 5049 Birchwood Ave
Skokie, IL 60077 - Phone
- (773) 802-5656
Registry record
- Primary taxonomy
- 111NR0400X
111NR0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-06
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 Illinois