Organization
PARK BROTHERS PAIN CLINIC P.C
Active
Organization
PARK BROTHERS PAIN CLINIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG W PARK (PRESIDENT)
(847) 983-4499
Entity
Organization
Contact information
Practice address
9408 WAUKEGAN RD, MORTON GROVE, IL 60053-1352
(847) 983-4499
(847) 983-4599
Mailing address
9408 WAUKEGAN RD, MORTON GROVE, IL 60053-1352
(847) 983-4499
(847) 983-4599
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011256
IL
Other
Enumeration date
08/19/2009
Last updated
08/27/2009
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