Pak, John

Pak, John is an individual health care provider with primary practice located at 2015 N Main St , Wheaton IL 60187-3152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pak, John can be contacted via phone (630) 668-8250.

Contact Information

Primary practice address
2015 N Main St Wheaton IL 60187-3152
Phone: (630) 668-8250
Fax: (630) 668-8916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-108561 Illinois

Profile Details

NPI number 1811937311
LBN Legal business name Pak, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 19th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811937311 NPPES
Illinois Other P00336843 RR MEDICARE
Illinois MEDICAID 036108561 RR MEDICARE

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