| Jamie Y. Park, D.D.S., Ltd | |
|
8622 W Golf Rd Niles IL 60714-5600 | |
| (847) 299-5990 | |
| (847) 299-5998 |
| Full Name | Jamie Y. Park, D.D.S., Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8622 W Golf Rd, Niles, Illinois |
| Authorized Official Name and Position | Jamie Y. Park (DOCTOR) |
| Authorized Official Contact | 8472995990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Y. Park, D.D.S., Ltd 8622 W Golf Rd Niles IL 60714-5600 Ph: (847) 299-5990 | Jamie Y. Park, D.D.S., Ltd 8622 W Golf Rd Niles IL 60714-5600 Ph: (847) 299-5990 |
| NPI Number | 1437320553 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437320553 | NPI | - | NPPES |
| 9177023 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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