Individual
DR. JI-WEON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD # LL0519, LAKE FOREST, IL 60045-1658
(847) 535-6218
(847) 535-6237
Mailing address
1000 N WESTMORELAND RD # LL0519, LAKE FOREST, IL 60045-1658
(847) 535-6218
(847) 535-6237
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036137671
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2010009848
MO
Other
Enumeration date
03/24/2008
Last updated
03/24/2023
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