Individual
SARA A PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10045746
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
209029594
IL
367500000X
Certified Registered Nurse Anesthetist
901776
NE
Other
Enumeration date
03/29/2020
Last updated
12/22/2025
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