KYUHUN PARK (NPI# 1679939417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679939417 |
| Entity Type | Individual |
| Full Name | KYUHUN PARK |
| Practice Address |
2540 N Harlem Ave Elmwood Park IL 60707-2046 |
| Practice Telephone | 7084527275 |
| Practice Fax Number | 7084527295 |
| Mailing Telephone | 7084527275 |
| Mailing Fax Number | 7084527295 |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 090.005328 | IL | Hospitals |
| Street Address |
2540 N HARLEM AVE |
| City | ELMWOOD PARK |
| State | IL |
| Zip Code | 60707-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902210164 | Alexis De Gale | Special Hospital | 1050 Bonaventure Dr, Elk Grove Village, IL 60007-3277 | 2014-06-16 |
| 1417369976 | Arthur Berg | Special Hospital | 14 Bradford Ln, Oak Brook, IL 60523-2322 | 2014-06-02 |
| 1063823557 | Beaumont Small Animal Clinic | Special Hospital | 1304 N Cunningham Ave, Urbana, IL 61802-1817 | 2014-05-19 |
| 1932407772 | Kevin Wayne Ames | Special Hospital | 2005 Mall St, Collinsville, IL 62234-1832 | 2011-03-02 |
| 1366645590 | Jeremy Peter Buishas | Special Hospital | 21 S. Park Blvd, Glen Ellyn, IL 60137 | 2007-06-06 |
| 1508073347 | Ciwirc ( Central Illinois Work Injury Resource Center ) | Special Hospital | 736 Sw Washington St Ste 2a, Peoria, IL 61602-1643 | 2007-05-17 |
| 1851731640 | Southern Illinois University School of Medicine | Special Hospital | 701 N 1st St, Room D443, Springfield, IL 62702-3757 | 2013-06-26 |
| 1396083796 | County Line Animal Hospita | Special Hospital | 2200 S Washington St, Naperville, IL 60565-2495 | 2013-01-21 |
| 1184998627 | Patrice Kathleen Griffin | Special Hospital | 2525 S Michigan Ave, B-522, Chicago, IL 60616-2333 | 2012-03-01 |
| 1275812182 | Mercy Hospital Medical Centre | Special Hospital | 2525 S Michigan Ave, Mercy Hospital Medical Center, Chicago, IL 60616-2333 | 2011-08-09 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 60707 |
Please comment or provide details below to improve the information on KYUHUN PARK.
| 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.