Park, Deric Minwoo

Park, Deric Minwoo is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc2030 , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Park, Deric Minwoo can be contacted via phone (773) 702-1061.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc2030 Chicago IL 60637-1443
Phone: (773) 702-1061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2084D0003X MD431575 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101247111 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036147170 Illinois

Profile Details

NPI number 1730391509
LBN Legal business name Park, Deric Minwoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Feb 6th, 2019 - about 6 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.

Request for update

Popular Providers