Seong Park
Internal Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1003429366
StatusActive
Last updated in NPPESMay 27, 2024
Details
- NPI
- 1003429366
- Entity type
- Individual (NPI-1)
- Name
- Seong Park
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2020
- Certification date
- May 27, 2024
- Last updated
- May 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125.083587 | IL | Yes |
Practice location
251 E Huron StChicago, IL 60611-3055
Phone 312-926-2000
Mailing address
251 E Huron StChicago, IL 60611-3055
Phone 312-926-2000
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