Individual
JIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
266 YORKTOWN CTR, LOMBARD, IL 60148-5526
(630) 261-1867
(630) 261-0513
Mailing address
314 W ARMY TRAIL RD, STE 6, BLOOMINGDALE, IL 60108-2300
(847) 466-8758
(630) 295-8261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010103
IL
Other
Enumeration date
07/17/2008
Last updated
05/25/2016
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