Individual
MR. BRANDON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2107 N JUNIPER LN, ARLINGTON HEIGHTS, IL 60004-3186
(224) 595-9721
Mailing address
2107 N JUNIPER LN, ARLINGTON HEIGHTS, IL 60004-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04220414
IL
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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