AMANDA PARK

CHICAGO, IL
NPI1780032482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036-158292)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CT  66631)
Enumeration Date2016-06-03
Last Update Date2023-12-29
Business Address
AMANDA PARK M.D.
3134 N CLARK ST
CHICAGO, IL 60657-4414
Phone number: 773-766-4949
Mailing Address
AMANDA PARK M.D.
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900