Individual
EUGENE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116033242
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
36161197
IL
Other
Enumeration date
06/18/2019
Last updated
05/29/2025
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