Search › Illinois › 156FX1800X
Jaeoh Park
NPI 1659974558 · on the registry since 2020 · sole proprietor
Practice
- Address
- 436 White Pine Rd
Buffalo Grove, IL 60089 - Phone
- (224) 433-0992
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-21
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