DR. Keum Za Park, M.D.

NPI #1407072960 in Elgin, Illinois

Provider Information

NPI Number: 1407072960
Entity Type: Individual
Name: DR. Keum Za Park, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 750 S STATE ST
City: Elgin
State: Illinois
ZIP Code: 60123-7612
Phone: (847) 742-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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