Search › Illinois › 363LF0000X
Sun Park
NPI 1942771415 · on the registry since 2018 · sole proprietor
Practice
- Address
- 930 Elk Grove Town Ctr
Elk Grove Village, IL 60007 - Phone
- (800) 323-8622
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-19
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