Organization
STRIVEMD WELLNESS & KETAMINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY PARK MD (MD / PARTNER)
(419) 509-3726
Entity
Organization
Contact information
Practice address
8707 SKOKIE BLVD STE 307, SKOKIE, IL 60077-2281
(847) 213-0990
Mailing address
8707 SKOKIE BLVD STE 307, SKOKIE, IL 60077-2281
(847) 213-0990
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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