person
Simon Park
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1568040269

Simon Park is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Simon Park practices in Chicago, IL. The NPI Number for Simon Park is 1568040269 and holds a License No. (Illinois).

The current practice location address for Simon Park is 1740 W Taylor St # Mc931, Chicago, IL and can be reached out via phone at 312-996-0011.

Location: 1740 W Taylor St # Mc931, Chicago, IL, 61637-0001
person
Provider Profile Details
NPI Number
1568040269
Provider Name
Simon Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
1740 W Taylor St # Mc931, Chicago, IL, 61637-0001
Phone Number
312-996-0011
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1740 W Taylor St # Mc931
City
State
Zip
60612-7232
Phone Number
312-996-0011
Fax Number
person
Provider Business Mailing Address Details
Address
1740 W Taylor St # Mc931
City
State
Zip
60612-7232
Phone Number
312-996-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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