Jin Park, ND, LAC

NPI 1154799245 · on the registry since 2015

Practice

Address: 1935 Shermer Rd
Suite 140
Northbrook, IL 60062
Phone: (847) 559-3200
Organisation at this address: Purple Rose Counseling, Pllc
Ag Medical Transporation Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 171100000X
171100000X
Also registered as: 175F00000X
Licence states on file: IL, OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-09-08

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