NPI 1619269701

Patrick Jung Park, MSOM

Practitioner Acupuncturist Glenview, IL

Practice location

Address: 4239 Commercial Way, Glenview, IL 60025-3573
Phone: (847) 375-9800

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 198-000083 (IL)

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Registry record

NPI: 1619269701
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2011
Record last updated: 9 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.