KENNETH PARK

CHICAGO, IL
NPI1194973768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003022)
Enumeration Date2008-09-08
Last Update Date2022-08-31
Business Address
KENNETH PARK PA-C
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3000
Mailing Address
KENNETH PARK PA-C
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3000
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