Individual
JOHN JINSO PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1438 W BELMONT AVE, CHICAGO, IL 60657-2150
(312) 508-3645
Mailing address
5701 N SHERIDAN RD APT 30H, CHICAGO, IL 60660-4792
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010836
IL
Other
Enumeration date
04/19/2021
Last updated
04/01/2024
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