Individual
DR. JENNY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1 OAKBROOK CENTER, OAK BROOK, IL 60523
(630) 368-1101
(630) 368-1095
Mailing address
1 OAKBROOK CENTER, OAK BROOK, IL 60523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010835
IL
152W00000X
Optometrist
60113929
WA
Other
Enumeration date
09/02/2009
Last updated
09/07/2016
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