SE Won Park
SE Won Park is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2160 S 1st AveMaywood, IL 60153-3328
Phone: (708) 216-3229
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1104793314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2025 |
| Last updated in NPPES | October 22, 2025 |
| Certification date | October 21, 2025 |
| Mailing address | 2160 S 1st Ave, Maywood, IL 60153-3328 |
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