Individual
DR. JIMMY K PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 283-5500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036110648
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
036-110648
IL
Other
Enumeration date
12/05/2006
Last updated
09/05/2025
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