Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Claudia Jisung Park, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497336135

Dr. Claudia Jisung Park, DDS is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

350 N Clark St Ste 600
Chicago, IL 60654-4782
Phone: (425) 286-7112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Maimonides Medical Center, Brooklyn, NY 11219 — (718) 283-6000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.033535 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497336135
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 15, 2021
Last updated in NPPESMay 8, 2022
Certification dateMay 8, 2022

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