Organization · Type 2 NPI
Jesse K. Park MD SC
Primary Care Clinic/Center · Burr Ridge, IL
NPI number
1942482278
Active
Practice location
100 Tower Dr, Suite 105
Burr Ridge, IL 60527-5777
Fax (630) 325-3936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036-080235 (IL) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Burr Ridge
About NPI 1942482278
Jesse K. Park MD SC's National Provider Identifier is 1942482278, issued on Nov 28, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Burr Ridge, IL. The record was last updated on Feb 28, 2013.