Dr. Il-Lyuck Lyuck Park, MD
Dr. Il-Lyuck Lyuck Park, MD is an Internal Medicine in Glendale, Arizona. Qualified in 2003, 23 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 23
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5555 W Thunderbird Banner Thunderbird Medical CtrGlendale, AZ 85306
Phone: (602) 865-2627
Fax: (602) 865-2632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hospitalist Physician (primary) | Taxonomy 208M00000X · Licence 35796 (AZ) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 35796 (AZ) |
Record details
| NPI number | 1245254127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2006 |
| Last updated in NPPES | January 5, 2017 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Banner Hospital Based Physicians Arizona Llc — 641 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Layal A Nissan, MD
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Dr. Charles C Otuonye, MD
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