DR. JIN PARK (NPI# 1154799245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154799245 |
| Entity Type | Individual |
| Full Name | DR. JIN PARK |
| Credential | ND, LAC |
| Practice Address |
1935 Shermer Rd Suite 140 Northbrook IL 60062-5384 |
| Practice Telephone | 8475593200 |
| Mailing Telephone | 8475593200 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 198.000439 | IL | Other Service Providers |
| N | 175F00000X | Naturopath | 1121 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730619032 | Jin Park | Acupuncturist | 1096 N Western Ave Ste 107, Los Angeles, CA 90029-2340 | 2017-06-19 |
| 1972767069 | Jin Park | Optometrist | 266 Yorktown Ctr, Lombard, IL 60148-5526 | 2008-07-17 |
| 1245440486 | Jin Woo Park | Acupuncturist | 1323 Phillips Dr, Fullerton, CA 92833-5641 | 2007-05-23 |
| 1255548343 | Jin Sook Park | Physical Therapist | 630 Hillcrest Dr, Redwood City, CA 94062 | 2007-05-17 |
| 1336264126 | Jin Won Park | Acupuncturist | 9042 Garden Grove Blvd Ste 299, Garden Grove, CA 92844-1370 | 2007-03-20 |
| 1164552246 | Jin Hwi Park | Dentist | 9295 Magnolia Ave, #103, Riverside, CA 92503-3800 | 2007-03-06 |
| 1992800353 | Jin Hewa Park | Family Medicine | 250 W San Jose Ave, Claremont, CA 91711-5207 | 2006-09-13 |
| 1962436550 | Jin Sup Park | Radiology | 8619 Pasture View Ln, Houston, TX 77024-7039 | 2006-07-10 |
| 1053948034 | Jin Patrick Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2020-03-27 |
| 1073052478 | Jin Park | Pharmacist | 1900 E Lambert Rd, Brea, CA 92821-4371 | 2017-02-17 |
| Street Address |
1935 SHERMER RD SUITE 140 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-5384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306870217 | Louis M Schlifke | Psychologist | 1935 Shermer Rd, Suite 160, Northbrook, IL 60062-5384 | 2006-07-10 |
| 1366616153 | Ag Medical Transporation Inc | Non-emergency Medical Transport (VAN) | 1935 Shermer Rd, Suite # 180, Northbrook, IL 60062-5384 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686492 | Lana Moshkovich | Acupuncturist | 1500 Shermer Rd Ste Ll29, Northbrook, IL 60062 | 2014-11-07 |
| 1366852188 | Hyeyeong Kim | Acupuncturist | 3100 Dundee Rd Ste 402, Northbrook, IL 60062 | 2014-05-01 |
| 1770746125 | Young Bin Im | Acupuncturist | 3486 Milwaukee Avenue, Ims Acupuncture Clinic, Northbrook, IL 60062 | 2008-07-07 |
| 1386292084 | Healing Acupuncture and Herbs | Acupuncturist | 3100 Dundee Rd Ste 402, Northbrook, IL 60062-2452 | 2019-08-27 |
| 1780179911 | Elizabeth Marie Gavin | Acupuncturist | 3000 Dundee Rd, Northbrook, IL 60062-2422 | 2018-06-29 |
| 1932650678 | Holicare | Acupuncturist | 3100 Dundee Rd Ste 402, Northbrook, IL 60062-2452 | 2016-10-18 |
| 1952709891 | Nirvana Naturopathics, LLC | Acupuncturist | 1500 Shermer Rd Ste Ll29, Northbrook, IL 60062-5351 | 2014-12-09 |
| 1346512613 | Ton Shen Health | Acupuncturist | 3100 Dundee Rd, Unit 402, Northbrook, IL 60062-2437 | 2012-02-02 |
| 1386923001 | Lilly Chu | Acupuncturist | 3100 Dundee Rd, Northbrook, IL 60062-2437 | 2011-08-11 |
| 1063720050 | Christine Ann Renz | Acupuncturist | 900 Skokie Blvd, Suite 140, Northbrook, IL 60062-4012 | 2010-09-23 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on DR. JIN PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.