Individual provider · Type 1 NPI

Julie Eunnah Park, MD

Plastic and Reconstructive Surgery Physician · Chicago, IL

NPI number 1316084593 Active

Practice location

5841 S Maryland Ave, Mc 6035
Chicago, IL 60637-1470

Call (773) 702-6302 Map

Fax (773) 702-1634

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician 2086S0122XP9592 (MD)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X036121570 (IL)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1316084593

Julie Eunnah Park, MD's National Provider Identifier is 1316084593, issued on Jan 30, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2009.