NPI 1992750020

John J Park, MD

Practitioner Colon & Rectal Surgery Physician Park Ridge, IL

Practice location

Address: 1550 N Northwest Hwy Suite 107, Park Ridge, IL 60068-1411
Phone: (847) 759-1110
Fax: (847) 759-8273

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 336056651 (IL)

Other Colon & Rectal Surgery providers in Illinois →

Registry record

NPI: 1992750020
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2006
Record last updated: 21 Dec 2021

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.