| Doctor Name: | CHONG K PARK |
| NPI Number: | 1992751770 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35614 |
| Business Practice Address: | 300 1st Capitol Dr Saint Charles, MO - 633012844 |
| Business Phone Number: | 6369475000 |
| Business Fax Number: | 6369475090 |
| Mailing Address: | 1836 Lackland Hill Pkwy, Attn: Credentialing SAINT LOUIS |
| State: | MO |
| Postal Code: | 631463572 |
| Phone Number: | 3149890300 |
| Fax Number: | 3148101399 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 35614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |