Individual
DR. HAN MYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-3000
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125075462
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
08/05/2020
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