Park, Lilly H
Park, Lilly H is an individual health care provider with primary practice located at 10604 Southwest Hwy Ste 200 , Chicago Ridge IL 60415-2717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Park, Lilly H can be contacted via phone (708) 424-9710.Contact Information
Primary practice address
10604 Southwest Hwy Ste 200
Chicago Ridge IL 60415-2717
Phone: (708) 424-9710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209027841 | Illinois |
Profile Details
| NPI number | 1346929601 |
|---|---|
| LBN Legal business name | Park, Lilly H |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2023 |
| Last updated | Jul 13th, 2023 - about 3 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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