Nanah Suk Park, MD | |
180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | |
(773) 834-4064 | |
Not Available |
Full Name | Nanah Suk Park |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 180 Harvester Dr Ste 110, Burr Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942350988 | NPI | - | NPPES |
036108899 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036108899 (Illinois) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Mailing Address | Practice Location Address |
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Nanah Suk Park, MD 5841 S Maryland Ave # Mc6082, Chicago, IL 60637-1447 Ph: () - | Nanah Suk Park, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 834-4064 |
Ruth R Rudinsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
John F Marcinak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Eric C Beyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Jean Marie Schied, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Elizabeth E Littlejohn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Erika Claud, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 | |
Martin A Bazi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064 |