Park, Jong

Park, Jong is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Park, Jong can be contacted via phone (815) 759-4400.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050-8409
Phone: (815) 759-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051291746 Illinois

Profile Details

NPI number 1265804553
LBN Legal business name Park, Jong
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2015
Last updated Oct 26th, 2015 - about 11 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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