JOSHUA SANGWON PARK (NPI# 1306486188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306486188 |
| Entity Type | Individual |
| Full Name | JOSHUA SANGWON PARK |
| Practice Address |
270 11th St Unit C Wheeling IL 60090-2002 |
| Practice Telephone | 2246190761 |
| Mailing Telephone | 2246190761 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| 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 |
|---|---|---|---|---|
| 1073064937 | Joshua Park | Physical Therapist | 50 E 42nd St Rm 702, New York, NY 10017-5434 | 2016-10-17 |
| 1588794002 | Joshua Park | Chiropractor | 5257 Stevens Creek Blvd, Santa Clara, CA 95051-6664 | 2007-03-06 |
| 1427523422 | Joshua Junse Park | Acupuncturist | 603 N Flamingo Rd Ste 159, Pembroke Pines, FL 33028-1047 | 2018-10-05 |
| 1225482854 | Joshua Park | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2016-04-20 |
| 1457470833 | Joshua Douglas Park | Physician Assistant | 2004 Sproul Rd, Broomall, PA 19008-3511 | 2007-03-28 |
| Street Address |
270 11TH ST UNIT C |
| City | WHEELING |
| State | IL |
| Zip Code | 60090-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
| 1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
| 1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
| 1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
| 1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
| Find all providers in zip 60090 | ||||
| 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 |
|---|---|---|---|---|
| 1184259269 | Samira Ibrahim | Student in an Organized Health Care Education/Training Program | 32 20th St Ste 400, Wheeling, WV 26003-3746 | 2020-03-09 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1194112821 | Nikita Krishnaraj Urval | Student in an Organized Health Care Education/Training Program | 333 Oakmont Rd, Wheeling, WV 26003-5615 | 2015-04-21 |
| 1275933053 | Kayla Henderson | Student in an Organized Health Care Education/Training Program | 222 Chapel Rd, Wheeling, WV 26003-4842 | 2014-08-28 |
| 1659997641 | Candace Ashley Singh | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 40 Medical Park Suite 401, Wheeling, WV 26003 | 2020-06-25 |
| 1346864220 | Emma Carter | Student in an Organized Health Care Education/Training Program | 40 Medical Park Ste 401, Wheeling, WV 26003-6392 | 2020-06-05 |
| 1427672419 | Emilia Anna Surzyn | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 40 Medical Park Suite 401, Wheeling, WV 26003 | 2020-06-04 |
| 1457974396 | Jenny L Mamtora | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 40 Medical Park Suite 401, Wheeling, WV 26003 | 2020-05-27 |
| 1740803501 | Alexander Sample | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 40 Medical Park Suite 401, Wheeling, WV 26003 | 2020-05-27 |
| 1801419940 | Brian David Rogers | Student in an Organized Health Care Education/Training Program | 40 Medical Park Ste 406, Wheeling, WV 26003-6392 | 2020-05-23 |
| Find all providers in WHEELING | ||||
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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.