Park, Jimmy
Park, Jimmy is an individual health care provider with primary practice located at 251 E Huron St # F5-704 , Chicago IL 60611-2908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Park, Jimmy can be contacted via phone (312) 926-2537.Contact Information
Primary practice address
251 E Huron St # F5-704
Chicago IL 60611-2908
Phone: (312) 926-2537
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 036-110648 | Illinois |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036110648 | Illinois |
Profile Details
NPI number | 1396803144 |
---|---|
LBN Legal business name | Park, Jimmy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2006 |
Last updated | Jun 16th, 2020 - 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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