Most Relevant Information
Provider Data
| NPI Number: | 1003429366 |
| Provider Name: | SEONG PARK |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 125.083587 |
Most Important Dates
| Enumeration Date: | 08/26/2020 |
| Last Updated: | 05/27/2024 |
Provider Practice Location
251 E HURON ST
CHICAGO
IL
606113055
Practice Location Phone/Fax
| Phone: | 3129262000 |
| Fax: |
Provider Mailing Location
251 E HURON ST
CHICAGO
IL
606113055
Provider Mailing Phone/Fax
| Phone: | 3129262000 |
| Fax: |
Suggested EMR
Internist EMR