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Sue M Park, APN
Pediatric Nurse Practitioner in Chicago, Illinois
NPI 1578700522

Sue M Park is a Pediatric Nurse Practitioner based in Chicago, IL and is specialized in Pediatrics. Sue M Park practices in Chicago, IL and has the professional credentials of APN. The NPI Number for Sue M Park is 1578700522 and holds a License No. 209.007061041.336475 (Illinois).

The current practice location address for Sue M Park is 225 E Chicago Ave # 19, Chicago, IL and can be reached out via phone at 312-227-5157 and via fax at 312-227-9730.

Location: 225 E Chicago Ave # 19, Chicago, IL, 60611-2991
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Provider Profile Details
NPI Number
1578700522
Provider Name
Sue M Park
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
225 E Chicago Ave # 19, Chicago, IL, 60611-2991
Phone Number
312-227-5157
Fax Number
312-227-9730
Provider Enumeration Date
01/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801058086 05 IL
1578700522 05 IL
institution
Provider Business Practice Location Address Details
Address
225 E Chicago Ave # 19
City
State
Zip
60611-2991
Phone Number
312-227-5157
Fax Number
312-227-9730
person
Provider Business Mailing Address Details
Address
225 E Chicago Ave # 19
City
State
Zip
60611-2991
Phone Number
312-227-5157
Fax Number
312-227-9730
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209.007061041.336475 (Illinois)
Definition
Definition to come...
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