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1619147592
GRACE LEE PARK
URBANA, IL
NPI
1619147592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036119920)
Enumeration Date
2008-03-06
Last Update Date
2017-10-10
Business Address
GRACE LEE PARK M.D.
1109 S. LINCOLN AVE. MCKINLEY HEALTH CENTER
URBANA, IL 61801
Phone number: 217-333-2711
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Mailing Address
GRACE LEE PARK M.D.
1109 S. LINCOLN AVE. MCKINLEY HEALTH CENTER
URBANA, IL 61801
Phone number: 217-333-2711
Copy
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