Elisa Park
NPI #1124623863 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1124623863
- Entity Type
- Individual
- Name
- Elisa Park
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 1, 2020
- Last Updated
- Dec 12, 2020
Practice Location
- Address
- 1305 RANDALL RD
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014-8601
- Phone
- (815) 356-0386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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