Jamie Y. Park, D.D.S., Ltd

LBN: Jamie Y. Park, D.D.S., Ltd
Jamie Y. Park, D.D.S., Ltd is an health care organization with primary practice located at 8622 W Golf Rd , Niles IL 60714-5600. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jamie Y. Park, D.D.S., Ltd can be contacted via phone (847) 299-5990, or through Park, Jamie Y. via phone (847) 299-5990.

Contact Information

Primary practice address
8622 W Golf Rd Niles IL 60714-5600
Phone: (847) 299-5990
Fax: (847) 299-5998
Website:
Map and Directions
Authorized official contact:
Name: Park, Jamie Y. Doctor of Dental Surgery (DDS)
Phone: (847) 299-5990

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1437320553
LBN Legal business name Jamie Y. Park, D.D.S., Ltd
DBA Doing business as
Authorized official Park, Jamie Y. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437320553 NPPES
Illinois MEDICAID 9177023

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