Park, Dongho
Park, Dongho is an individual health care provider with primary practice located at 602 W University Ave , Urbana IL 61801-2530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Park, Dongho can be contacted via phone (217) 383-3311.Contact Information
Primary practice address
602 W University Ave
Urbana IL 61801-2530
Phone: (217) 383-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | Illinois |
Profile Details
| NPI number | 1215088240 |
|---|---|
| LBN Legal business name | Park, Dongho |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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