Park, Jong
Park, Jong is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Park, Jong can be contacted via phone (815) 759-4400.Contact Information
Primary practice address
4201 W Medical Center Dr
Mchenry IL 60050-8409
Phone: (815) 759-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 051291746 | Illinois |
Profile Details
| NPI number | 1265804553 |
|---|---|
| LBN Legal business name | Park, Jong |
| Credentials | PHARM.D., BCPS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2015 |
| Last updated | Oct 26th, 2015 - about 10 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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