DR. JULIE EUNNAH PARK (NPI# 1316084593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316084593 |
| Entity Type | Individual |
| Full Name | DR. JULIE EUNNAH PARK |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave Mc 6035 Chicago IL 60637-1470 |
| Practice Telephone | 7737026302 |
| Practice Fax Number | 7737021634 |
| Mailing Telephone | 7737026302 |
| Mailing Fax Number | 7737021634 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036121570 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
P9592 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459862 | Julie J Park | Acupuncturist | 113 Kingsley Street, Apt 2f, Leoni, NJ 07605 | 2017-07-14 |
| 1811152846 | Julie Myung Park | Acupuncturist | 903 Crenshaw Blvd Ste 301, Los Angeles, CA 90019-1967 | 2008-07-18 |
| 1225539109 | Julie Park | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2018-02-26 |
| 1568916625 | Julie Park | Pediatrics | 404 N Keene St, Women's and Children's Hospital, Columbia, MO 65201-6626 | 2016-08-06 |
| 1285036525 | Julie Park | Pharmacist | 6189 La Palma Ave, Buena Park, CA 90620-2858 | 2014-09-18 |
| 1245672922 | Julie Park | Speech-Language Pathologist | 80 Main St, West Orange, NJ 07052-5460 | 2013-07-23 |
| 1619220423 | Julie Park | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2012-10-17 |
| 1386968147 | Julie Lee Park | Dentist | 538 Polaris Pkwy, Westerville, OH 43082-7044 | 2010-03-23 |
| 1851624225 | Julie A Park | Licensed Vocational Nurse | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2009-09-16 |
| 1235320516 | Julie Park | Nurse Practitioner | 1635 N George Mason Dr Ste 170, Arlington, VA 22205-3633 | 2007-08-05 |
| Street Address |
5841 S MARYLAND AVE MC 6035 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1427229129 | David Teplica | Surgery | 803 W Hutchinson St, Chicago, IL 60613-1616 | 2008-03-20 |
| 1629133459 | Mckay Mckinnon | Surgery | 680 N Lake Shore Dr Ste 1208, Chicago, IL 60611 | 2006-12-22 |
| 1629029426 | Arun Gosain | Surgery | 225 E Chicago Ave # 63, Chicago, IL 60611-2991 | 2006-05-15 |
| 1992790828 | Julia Corcoran | Surgery | 1801 W Taylor St, 3f Occ Mc 741, Chicago, IL 60612-4795 | 2005-09-16 |
| 1306447586 | Aesthetics Unlimited, Pllc | Surgery | 100 E Walton St Ste 400, Chicago, IL 60611-1448 | 2020-11-04 |
| 1558913921 | Byungjoon Jeon | Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2019-07-15 |
| 1821563545 | Pipeline - Weiss Medical Specialists, LLC | Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2018-10-09 |
| 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.