NPI Registry.org

Claudia Jisung Park

NPI Registration Record

Provider / OrganizationNPIDate Certified
CLAUDIA JISUNG PARK14973361352022-05-08

Claudia Jisung Park is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497336135. Registration indicates Claudia Jisung Park is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )

Entity TypeIndividual
Provider NameDr. Claudia Jisung Park DDS
Practice Office Address350 N CLARK ST STE 600
CHICAGO, IL US
Practice Office Telephone4252867112
Mailing Address350 N CLARK ST STE 600
CHICAGO, IL 606544782 US
Offices / Locations
AddressCity / StatePhone / Fax
Maimonides Medical Center 4802 10th AvenueBrooklyn, NY 11219 7182836000
HPT Codes
CodePractice
License No
State
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
1223G0001X PRIMARYAccess to Dentists-General
Dental Providers
Dentist
Dental Providers
Dentist
Dentist: General Practice

Dental

Dentist General Practice
Dental Providers
Dentist
019.033535
IL
OPI Codes
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