Individual
DERIC MINWOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC2030, CHICAGO, IL 60637-1443
(773) 702-1061
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1061
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
25MA11934400
NJ
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
MD431575
PA
2084N0400X
Neurology Physician
0101247111
VA
2084N0400X
Neurology Physician
036147170
IL
Other
Enumeration date
05/04/2007
Last updated
09/17/2024
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