Park, David H

Park, David H is an individual health care provider with primary practice located at 5201 Willow Springs Rd Suite #290, La Grange Highlands IL 60525-6537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Park, David H can be contacted via phone (708) 579-0018.

Contact Information

Primary practice address
5201 Willow Springs Rd Suite #290 La Grange Highlands IL 60525-6537
Phone: (708) 579-0018
Fax: (708) 579-7571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-114009 Illinois

Profile Details

NPI number 1326057969
LBN Legal business name Park, David H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326057969 NPPES
Other 403270 GROUP PTAN
Other 399690 GROUP PTAN

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