Search › Illinois › 207RR0500X
Candice Park, MD
NPI 1548955107 · on the registry since 2023
Practice
- Address
- 5841 S Maryland Ave # Mc9015
Chicago, IL 60637 - Phone
- (773) 702-6119
- Fax
- (773) 834-7065
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RR0500X
207RR0500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-12
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