Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB PARK, PA-C
ActiveJACOB PARK, PA-C is a Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1528463346 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1528463346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2014 (11.833146712164 yrs)
- Last Updated
- Feb 24, 2024
- License
-
85-005291 (IL)
Practice Information
- Address
-
1740 W TAYLOR ST RM 724WCHICAGO, IL, 606127232Browse IL providers · Browse ZIP 60612
- Phone
- 4023148567
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANDRIKA SHAH | PA | 1114928884 |
| JACK C. ENTER JR. | PA-C | 1366444184 |
| CASEY ANN MORAN | PA-C | 1740277441 |
| MS. SHANNON J HOBBS | PA-C | 1902893043 |
| MS. HONG HOLLY ZHANG | PA-C | 1609863620 |
| JENNIFER A CENTORE-LOBER | PA C | 1932198322 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.