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Individual

DR. JULIE EUNNAH PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5841 S MARYLAND AVE, MC 6035, CHICAGO, IL 60637-1470
(773) 702-6302
(773) 702-1634
Mailing address
5841 S MARYLAND AVE, MC 6035, CHICAGO, IL 60637-1470
(773) 702-6302
(773) 702-1634

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036121570
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
P9592
MD

Other

Enumeration date
01/30/2007
Last updated
04/29/2009
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