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Jesse K. Park Md Sc
Primary Care Clinic/Center in Burr Ridge, Illinois
NPI 1942482278

Jesse K. Park Md Sc is a Primary Care Clinic/Center based in Burr Ridge, IL and is specialized in Primary Care. Jesse K. Park Md Sc practices in Burr Ridge, IL. The NPI Number for Jesse K. Park Md Sc is 1942482278 and holds a License No. 036-080235 (Illinois).

The current practice location address for Jesse K. Park Md Sc is 100 Tower Dr, Burr Ridge, IL and can be reached out via phone at 630-325-8681 and via fax at 630-325-3936.

Location: 100 Tower Dr, Burr Ridge, IL, 60527-5777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942482278
Provider Name
Jesse K. Park Md Sc
Credential
Provider Entity Type
Organization
Address
100 Tower Dr, Burr Ridge, IL, 60527-5777
Phone Number
630-325-8681
Fax Number
630-325-3936
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Tower Dr
City
Burr Ridge
State
Illinois
Zip
60527-5777
Phone Number
630-325-8681
Fax Number
630-325-3936
person
Provider Business Mailing Address Details
Address
100 Tower Dr
City
Burr Ridge
State
Illinois
Zip
60527-5777
Phone Number
630-325-8681
Fax Number
630-325-3936
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036-080235 (Illinois)
Definition
Definition to come...
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