Individual
DR. JUNG I. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8825 CRESTWOOD AVE, MUNSTER, IN 46321-2711
(219) 746-9600
Mailing address
8825 CRESTWOOD AVE, MUNSTER, IN 46321-2711
(219) 746-9600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01032400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234393
—
IN
Enumeration date
01/05/2006
Last updated
04/19/2013
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