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Deric Minwoo Park, MD
Neurology Physician in Chicago, Illinois
NPI 1730391509

Deric Minwoo Park is a Neurology Physician based in Burr Ridge, IL and is specialized in Neurology. Deric Minwoo Park practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Deric Minwoo Park is 1730391509 and holds a License No. MD431575 (Illinois).

The current practice location address for Deric Minwoo Park is 5841 S Maryland Ave # Mc2030, Chicago, IL and can be reached out via phone at 773-702-1061. You can also correspond with Deric Minwoo Park through the mailing address at 150 HARVESTER DR STE 300, BURR RIDGE, IL - 60527-5965 (mailing address contact number: 773-702-1061).

Location: 5841 S Maryland Ave # Mc2030, Chicago, IL, 60527-5965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730391509
Provider Name
Deric Minwoo Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5841 S Maryland Ave # Mc2030, Chicago, IL, 60527-5965
Phone Number
773-702-1061
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave # Mc2030
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
773-702-1061
Fax Number
person
Provider Business Mailing Address Details
Address
150 Harvester Dr Ste 300
City
Burr Ridge
State
Illinois
Zip
60527-5965
Phone Number
773-702-1061
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Diagnostic Neuroimaging
Taxonomy
2084D0003X
License No.
0101247111 (Virginia)
Definition
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MD431575 (Pennsylvania)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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