Individual
GRACE LEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 S. LINCOLN AVE., MCKINLEY HEALTH CENTER, URBANA, IL 61801
(217) 333-2711
Mailing address
1109 S. LINCOLN AVE., MCKINLEY HEALTH CENTER, URBANA, IL 61801
(217) 333-2711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036119920
IL
Other
Enumeration date
03/06/2008
Last updated
10/10/2017
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