Park, William C.

Park, William C. is an individual health care provider with primary practice located at 1300 N Highland Ave Ste 1 , Aurora IL 60506-1481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Park, William C. can be contacted via phone (630) 897-5104.

Contact Information

Primary practice address
1300 N Highland Ave Ste 1 Aurora IL 60506-1481
Phone: (630) 897-5104
Fax: (630) 897-5089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036.121758 Illinois

Profile Details

NPI number 1942458237
LBN Legal business name Park, William C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2008
Last updated Feb 20th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942458237 NPPES
Illinois MEDICAID 036121758
Illinois MEDICAID 362765923
Illinois Other 542440001
Illinois Other CC2168
Illinois Other P00819332

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