Individual provider · Type 1 NPI

Lilly H. Park, NP

Nurse Practitioner · Chicago Ridge, IL

NPI number 1346929601 Active

Practice location

10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717

Mailing address

16127 Bent Grass Dr
Lockport, IL 60441-4615

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209027841 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346929601

Lilly H. Park, NP's National Provider Identifier is 1346929601, issued on Jul 13, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago Ridge, IL. The record was last updated on Jul 13, 2023.