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Individual

DR. WILLIAM C. PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 N HIGHLAND AVE STE 1, AURORA, IL 60506-1481
(630) 897-5104
(630) 897-5089
Mailing address
1300 N HIGHLAND AVE STE 1, AURORA, IL 60506-1481
(630) 897-5104
(630) 897-5089

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.121758
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036121758
IL
05
362765923
IL
01
542440001
WPS PROVIDER NUMBER
IL
01
CC2168
RR MC GROUP
IL
01
P00819332
RR MEDICARE
Enumeration date
08/29/2008
Last updated
08/12/2024
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