Park, Jade

Park, Jade is an individual health care provider with primary practice located at 1620 W Harrison St , Chicago IL 60612-3801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Park, Jade can be contacted via phone (312) 942-8525.

Contact Information

Primary practice address
1620 W Harrison St Chicago IL 60612-3801
Phone: (312) 942-8525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 125077867 Illinois

Profile Details

NPI number 1992384598
LBN Legal business name Park, Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2021
Last updated Jun 9th, 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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