Jaeoh Park
NPI #1659974558 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1659974558
- Entity Type
- Individual
- Name
- Jaeoh Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Nov 21, 2020
- Last Updated
- Nov 21, 2020
Practice Location
- Address
- 436 WHITE PINE RD
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-3326
- Phone
- (224) 433-0992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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