; NPI #1679939417

Contact Information

KYUHUN PARK

2540 N HARLEM AVE
ELMWOOD PARK, IL 60707-2046

Phone: 708-452-7275
Fax: 708-452-7295
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Special Hospital	284300000X	A0[7]	Hospital-Specialty Hospital (cardiac, orthopedic, surgical)

Indicates primary specialty

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NPI Profile & details for

NPI # 1679939417

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 01/09/2016

Last updated 01/09/2016 - About 10 years ago

Identifiers

License #

090.005328

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Special Hospital

NPI Profile & details for

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