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1427632140
SUE BIN PARK
CHICAGO, IL
NPI
1427632140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 018.002172)
Enumeration Date
2021-05-09
Last Update Date
2021-05-25
Business Address
SUE BIN PARK DDS
801 S PAULINA ST RM 304G
CHICAGO, IL 60612-7210
Phone number: 312-996-7514
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Mailing Address
SUE BIN PARK DDS
1244 W MONROE ST UNIT 10
CHICAGO, IL 60607-2572
Phone number: 425-998-3380
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