SEON GYEONG PARK


Address: 1150 W 15th St Unit 236, Chicago, IL 60608-3688
Phone: 6177971469

SEON GYEONG PARK (NPI# 1669097614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669097614
Entity Type Individual
Full Name SEON GYEONG PARK
Credential DDS
Practice Address 1150 W 15th St Unit 236
Chicago
IL 60608-3688
Practice Telephone 6177971469
Mailing Telephone 6177971469
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019032684 IL Dental Providers

Office Location

Street Address 1150 W 15TH ST UNIT 236
City CHICAGO
State IL
Zip Code 60608-3688

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293801 Wh Il Dental Pllc Dentist 18086 N. Kilpatrick Ave., Chicago, IL 60639 2020-10-21
1710598271 Amandeep Kaur Brar Dentist 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 2020-08-10
1770193971 Alex Sarpong Dentist 801 S Paulina St Rm 361, Chicago, IL 60612-7210 2020-08-03
1285243675 Alicia Marie Karczewski Dentist 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 2020-07-30
1740898154 Zeeshan Anjum Dentist 2322 S Canal St Unit 402, Chicago, IL 60616-2021 2020-07-22
1619594835 Rizina Hakimiyan Dentist 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 2020-07-03
1235756735 Payal K Shah Dentist 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 2020-06-30
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1023633054 Jennifer Kirk Munaretto Dentist 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 2020-06-16
1750906392 Chicago Dental Institute Dentist 25 E Washington St Ste 510, Chicago, IL 60602-1732 2020-06-09
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Competitor

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City CHICAGO
Zip Code 60608

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Dataset Information

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.

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