DONGHO PARK

URBANA, IL
NPI1215088240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209004774)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- DONGHO PARK N.P.
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3311
Mailing Address
-- DONGHO PARK N.P.
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3311