| Doctor Name: | MEEJUNG JANE PARK |
| NPI Number: | 1003914425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT25055 |
| Business Practice Address: | 2001 Midwest Rd Ste 302 Oak Brook, IL - 605231343 |
| Business Phone Number: | 6306209066 |
| Business Fax Number: | 6306208570 |
| Mailing Address: | 9 Saint Regis Ct, ELMHURST |
| State: | IL |
| Postal Code: | 601265616 |
| Phone Number: | 6307489670 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT25055 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |