Individual
DR. JONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4400
Mailing address
1479 E EVERGREEN DR, APT 302, PALATINE, IL 60074-8750
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051291746
IL
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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