Park, Jong T

Park, Jong T is an individual health care provider with primary practice located at 2906 Crossing Ct , Champaign IL 61822-6163. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Park, Jong T can be contacted via phone (217) 356-6543.

Contact Information

Primary practice address
2906 Crossing Ct Champaign IL 61822-6163
Phone: (217) 356-6543
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1811038672
LBN Legal business name Park, Jong T
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 19 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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