DR. JENNIFER PARK (NPI# 1568880318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568880318 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER PARK |
| Practice Address |
1855 W Taylor St Ste 3.138 Chicago IL 60612 |
| Mailing Address |
1855 W Taylor St Ste 3.138 Chicago IL 60612-7242 |
| Practice Telephone | 3124133593 |
| Mailing Telephone | 3124133593 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
036145774 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 353 E 17th St, 2nd Floor, Room 223, New York, NY 100033821 | 2124203743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757455 | Jennifer Park | Durable Medical Equipment & Medical Supplies | 1840 Ventura Blvd, Camarillo, CA 93010-7848 | 2019-12-16 |
| 1174095210 | Jennifer Park | Counselor | 20 S 36th St Ste 201, Camp Hill, PA 17011-4355 | 2018-12-31 |
| 1538510599 | Jennifer Park | Dentist | 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 | 2016-06-30 |
| 1427392760 | Jennifer Alane Park | Social Worker | 7000 Oak Forest Ln, Bethesda, MD 20817-2124 | 2012-11-26 |
| 1063402147 | Jennifer M Park | Psychiatry & Neurology | 1355 Beverly Rd, Suite 225, Mc Lean, VA 22101-3651 | 2005-10-28 |
| 1063024552 | Jennifer Park | Pharmacist | 520 Convery Blvd, Perth Amboy, NJ 08861 | 2020-08-18 |
| 1740817642 | Jennifer Eun Kyong Park | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave # Chs27139, Los Angeles, CA 90095-3075 | 2020-03-23 |
| 1417594672 | Jennifer Park | Pharmacist | 1650 Decoto Rd, Union City, CA 94587-3544 | 2019-12-06 |
| 1083260558 | Jennifer Park | Social Worker | 323 W Mulberry St, Watseka, IL 60970-1568 | 2019-08-12 |
| 1982265948 | Jennifer Heijoon Park | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2019-06-21 |
| Street Address |
1855 W TAYLOR ST STE 3.138 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207WX0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Cornea and External Diseases Specialist |
| An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164863353 | Rachel Epstein | Ophthalmology | 806 Central Ave, Highland Park, IL 60035 | 2013-07-16 |
| 1083979181 | Carter N Kirk | Ophthalmology | 7427 Lake St, River Forest, IL 60305-1817 | 2012-07-05 |
Please comment or provide details below to improve the information on DR. JENNIFER 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.