Individual
ALBERT PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2570 24TH ST STE 124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
Mailing address
2570 24TH ST STE 124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.152196
IL
Other
Enumeration date
04/05/2016
Last updated
08/29/2020
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