JUSTIN JOONHYUK PARK (NPI# 1225536816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225536816 |
| Entity Type | Individual |
| Full Name | JUSTIN JOONHYUK PARK |
| Practice Address |
1044 N Francisco Ave Gme Office Chicago IL 60622-2743 |
| Mailing Address |
4870 Boulder Ln Hoffman Estates IL 60010-5880 |
| Practice Telephone | 7733606346 |
| Mailing Telephone | 8472197750 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356867477 | Justin Park | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2017-08-21 |
| 1780075416 | Justin Park | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2015-02-17 |
| 1265625941 | Justin Park | Orthopaedic Surgery | 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061-5577 | 2007-08-25 |
| Street Address |
1044 N FRANCISCO AVE GME OFFICE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976255 | Joseph A Villalona | Pediatrics | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2005-07-16 |
| 1811507775 | Mohammad Raza Khan | Podiatrist | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-08-05 |
| 1003430208 | Jared Kealy | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-06-03 |
| 1346863875 | Indre Aleksaite | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-05-19 |
| 1710516976 | Olha Huzo | Student in an Organized Health Care Education/Training Program | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-04-08 |
| 1023646494 | Oludara Olutomi Talabi | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-03-31 |
| 1881221497 | Birva Trivedi | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-03-24 |
| 1285267567 | Joshimar Andre Henry | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-02-15 |
| 1114559242 | Afolasade Julie Jarrett | Nurse Practitioner | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-02-06 |
| 1750929709 | Rachel Stephani | Physician Assistant | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
| Find all providers in CHICAGO | ||||
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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.