Individual
AN NA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 MACARTHUR BLVD STE 401, MUNSTER, IN 46321-2919
(219) 440-5920
Mailing address
801 MACARTHUR BLVD STE 401, MUNSTER, IN 46321-2919
(219) 440-5920
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036130462
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130462
—
IL
Enumeration date
06/07/2010
Last updated
07/21/2022
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