Chanseul Park

NPI #1194209551 in Niles, Illinois

Provider Information

NPI Number: 1194209551
Entity Type: Individual
Name: Chanseul Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 21, 2018
Last Updated: Sep 21, 2018

Practice Location

Address: 9777 N GREENWOOD AVE
City: Niles
State: Illinois
ZIP Code: 60714
Phone: (847) 967-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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