Individual
DR. SAMUEL PARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 MCKEE RD, DOVER, DE 19904-1381
(302) 672-5800
Mailing address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(312) 635-0973
(312) 635-0050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C1-0023852
DE
Other
Enumeration date
07/03/2016
Last updated
08/27/2020
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