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

Elisa Park

Individual provider Pharmacist · NPI 1124623863

Elisa Park is a Pharmacist in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

1305 Randall Rd
Crystal Lake, IL 60014-8601
Phone: (815) 356-0386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051294615 (IL)

Record details

NPI number1124623863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2020
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020
Mailing address1305 Randall Rd, Crystal Lake, IL 60014-8601

Other providers in Crystal Lake