SUE M PARK

CHICAGO, IL
NPI1578700522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209.007061041.336475)
Enumeration Date2009-01-13
Last Update Date2019-02-04
Business Address
SUE M PARK APN
225 E CHICAGO AVE # 19
CHICAGO, IL 60611-2991
Phone number: 312-227-5157
Mailing Address
SUE M PARK APN
225 E CHICAGO AVE # 19
CHICAGO, IL 60611-2991
Phone number: 312-227-5157
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