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

Jonathan Park

Individual provider Dermatology Physician · NPI 1730874991

Jonathan Park is a Dermatology Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

251 E Huron St
Chicago, IL 60611-2908
Phone: (312) 926-2000
Show map & directions

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

Additional practice locations (1)

  • 1275 York Ave, New York, NY 10065-6007 — (212) 639-2000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125.084882 (IL)

Record details

NPI number1730874991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 14, 2024

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