Individual
DR. SAMUEL SANGHONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036118586
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036118586
IL
Other
Enumeration date
05/08/2007
Last updated
10/12/2022
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