Individual
CHRIS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 N LARRABEE ST, CHICAGO, IL 60610-2411
(312) 300-7385
Mailing address
941 N KINGSBURY ST, CHICAGO, IL 60610-7431
(630) 802-8688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033530
IL
Other
Enumeration date
06/14/2019
Last updated
01/05/2025
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