| Park Brothers Pain Clinic P.c | |
|
9408 Waukegan Rd, Morton Grove, IL 60053-1352 | |
| (847) 983-4499 | |
| (847) 983-4599 |
| Full Name | Park Brothers Pain Clinic P.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 9408 Waukegan Rd, Morton Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013149475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 038011256 (Illinois) | Primary |
| Provider Name | Yong W Park |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154560696 PECOS PAC ID: 2062567936 Enrollment ID: I20090827000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Park Brothers Pain Clinic P.c 9408 Waukegan Rd, Morton Grove, IL 60053-1352 Ph: (847) 983-4499 | Park Brothers Pain Clinic P.c 9408 Waukegan Rd, Morton Grove, IL 60053-1352 Ph: (847) 983-4499 |
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