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Search › Illinois › 363A00000X

Jacob Park, PA-C

NPI 1528463346 · on the registry since 2014

Practice

Address
1740 W Taylor St Rm 724w
Chicago, IL 60612
Phone
(402) 314-8567
Organisation at this address
Uic
University Of Illinois
University Of Illinois
University Of Illinois Chicago
University Of Illinois Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,281

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-24

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