Dr Jun Soo Park, MD | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(847) 345-2121 | |
Not Available |
Full Name | Dr Jun Soo Park |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659900777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036162814 (Illinois) | Primary |
Entity Name | Chicago Central Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093162836 PECOS PAC ID: 3072415520 Enrollment ID: O20040123000979 |
Entity Name | Epss Llc - Lakeside Series |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861271181 PECOS PAC ID: 1052769809 Enrollment ID: O20231205000431 |
Mailing Address | Practice Location Address |
---|---|
Dr Jun Soo Park, MD 2270 S Elizabeth St, Lombard, IL 60148-7124 Ph: (847) 345-2121 | Dr Jun Soo Park, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (847) 345-2121 |
Matthew Swayze, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Trac Xuan Nghiem, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Ems Bldg., Rm. 2700, Maywood, IL 60153 Phone: 708-327-2700 Fax: 708-327-3474 | |
Robert Riggs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, 101-1740, Loyola University Medical Center, Maywood, IL 60153 Phone: 708-327-2549 Fax: 708-327-2548 | |
Jeremy M Hoenig, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2160 S 1st Ave, Ems Building, Section Of Emergency Medicine, Maywood, IL 60153 Phone: 708-327-2549 Fax: 708-327-2548 | |
Dr. Theresa Nguyen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8785 | |
Dr. Brian David Barbas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-2549 Fax: 708-327-2548 | |
Lynnette Doan-wiggins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, 101-1740, Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033 |