Individual
HELEN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-8699
Mailing address
2233 WEST DIVISION STREET, CHICAGO, IL 60622
(312) 770-2400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011707
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209011707
IL
363LG0600X
Gerontology Nurse Practitioner
209011707
IL
Other
Enumeration date
08/26/2014
Last updated
09/23/2019
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