Individual provider · Type 1 NPI

Theodore Tae-Shik Park, MD

Family Medicine Physician · Chicago, IL

NPI number 1194947648 Active

Practice location

3860 W Ogden Ave
Chicago, IL 60623-2460

Fax (872) 588-3561

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01065753A (IN)
Family Medicine Physician 207Q00000X35.092012 (OH)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1194947648

Theodore Tae-Shik Park, MD's National Provider Identifier is 1194947648, issued on May 3, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 23, 2017.