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Individual
DR. PEARL S. PARK
Active
Individual
DR. PEARL S. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036122338
IL
208000000X
Pediatrics Physician
BP10025770
TX
Other
Enumeration date
09/20/2007
Last updated
08/15/2022
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