Individual provider · Type 1 NPI

Sue Bin Park, DDS

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1427632140 Active

Practice location

801 S Paulina St Rm 304G
Chicago, IL 60612-7210

Call (312) 996-7514 Map

Mailing address

1244 W Monroe St Unit 10
Chicago, IL 60607-2572

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X018.002172 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427632140

Sue Bin Park, DDS's National Provider Identifier is 1427632140, issued on May 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 25, 2021.