Individual
MS. LILLY H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10604 SOUTHWEST HWY STE 200, CHICAGO RIDGE, IL 60415-2717
(708) 424-9710
Mailing address
16127 BENT GRASS DR, LOCKPORT, IL 60441-4615
(708) 253-5020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027841
IL
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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