DR. JAMIE Y PARK (NPI# 1073502035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073502035 |
| Entity Type | Individual |
| Full Name | DR. JAMIE Y PARK |
| Credential | D.D.S |
| Practice Address |
8622 W Golf Rd Niles IL 60714-5600 |
| Practice Telephone | 8472995990 |
| Practice Fax Number | 8472995998 |
| Mailing Telephone | 8472995990 |
| Mailing Fax Number | 8472995998 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033635180 | Jamie Lee Park | Pharmacist | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2017-08-21 |
| 1215472774 | Jamie Park | Pharmacist | 3900 W 3rd St, Los Angeles, CA 90020-2675 | 2016-12-19 |
| 1003290404 | Jamie L Park | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2015-07-15 |
| 1477873107 | Jamie Park | Registered Nurse | 200 Grand Ave Ste 203, Englewood, NJ 07631-4363 | 2010-06-04 |
| 1033445663 | Jamie Park | Physician Assistant | 2500 Belle Chasse Highway, Gretna, LA 70056-7127 | 2009-11-02 |
| 1194818401 | Jamie Joseph Park | Physical Therapist | 10 Crossroads Dr, Suite 208, Owings Mills, MD 21117-5458 | 2006-10-02 |
| 1578570040 | Jamie H Park | Dentist | 10680 Main St, Suite 150, Fairfax, VA 22030-3810 | 2006-08-01 |
| Street Address |
8622 W GOLF RD |
| City | NILES |
| State | IL |
| Zip Code | 60714-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437320553 | Jamie Y. Park, D.d.s., Ltd | Dentist | 8622 W Golf Rd, Niles, IL 60714-5600 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871254 | Madison Rae Mick | Dentist | 24 N Saint Joseph Ave Ste G, Niles, MI 49120-2263 | 2019-06-27 |
| 1770946378 | Malgorzata Pienkowska | Dentist | 8107 N. Milwaukee, Niles, IL 60714-2803 | 2016-03-31 |
| 1053729467 | Mary Grace Kim | Dentist | 8321 W Golf Rd, Niles, IL 60714-1113 | 2014-07-29 |
| 1093089690 | Nwdg Niles LLC | Dentist | 7886 N Milwaukee Ave, Niles, IL 60714-3145 | 2012-02-28 |
| 1649589151 | Kala Sagar Madugula Dmd Inc | Dentist | 5700 Youngstown Warren Rd, Unit 107, Niles, OH 44446-4762 | 2010-09-30 |
| 1366690067 | Mia Myoungah Seo | Dentist | 876 Civic Center Dr, Niles, IL 60714-3207 | 2008-09-05 |
| 1275796591 | Ronald Patrick Giometti | Dentist | 6954 W Touhy Ave, Suite 201, Niles, IL 60714-4547 | 2008-07-07 |
| 1972777399 | Hyeokjin Son | Dentist | 1111 Lambert St, Niles, MI 49120-3439 | 2008-04-16 |
| 1659560464 | Dr John D Mcmahon Ltd | Dentist | 8100 Oakton St, Niles, IL 60714 | 2007-10-17 |
| 1033315023 | Tejas N Joshi | Dentist | 7763 N Nordica Ave, Niles, IL 60714-3311 | 2007-06-26 |
| Find all providers in NILES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.