Individual
CHANG WOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 622-2069
Mailing address
77 N AIRLITE ST, ELGIN, IL 60123-4912
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.167509
IL
207P00000X
Emergency Medicine Physician
57.248924
OH
Other
Enumeration date
07/13/2020
Last updated
06/21/2024
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