SUE BIN PARK
Student in an Organized Health Care Education/Training Program

Address: 801 S Paulina St Rm 304g, Chicago, IL 60612-7210

SUE BIN PARK (NPI# 1427632140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427632140
Entity Type Individual
Full Name SUE BIN PARK
Gender Female
Credential DDS
Practice Address 801 S Paulina St Rm 304g
Chicago
IL 60612-7210
Practice Telephone 3129967514
Mailing Address 1244 W Monroe St Unit 10
Chicago
IL 60607-2572
Mailing Telephone 4259983380
Certification Date 2021-05-25
Enumeration Date 2021-05-09
Last Update Date 2021-05-25
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program 018.002172 IL Student, Health Care

Office Location

Street Address 801 S PAULINA ST RM 304G
City CHICAGO
State IL
Zip Code 60612-7210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689073041 Daniel Oh Dentist 801 S Paulina St Rm 304g, Chicago, IL 60612 2014-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093923658 Phillip T Marucha Dentist 801 S Paulina St # Mc859, Chicago, IL 60612-7210 2007-05-18
1083929475 David Michael Avenetti Dentist 801 S Paulina St # Mc850, Chicago, IL 60612-7210 2010-08-10
1467694315 Judy Chia-Chen Yuan Dentist - General Practice 801 S Paulina St # Mc621, Chicago, IL 60612-7210 2009-03-24
1609456771 Stephen Thomas Treacy Student in an Organized Health Care Education/Training Program 801 S Paulina St Rm 131, Chicago, IL 60612-7210 2021-04-12
1013414655 Flavio Jose Castelli Sanchez Dentist - Orthodontics and Dentofacial Orthopedics 801 S Paulina St Rm 131, Chicago, IL 60612-7210 2018-04-10
1114248655 Sloan Boyd Ashabranner Dentist - General Practice 801 S Paulina St Rm 110, Chicago, IL 60612-7210 2010-06-18
1558842872 Sebastian Adam Przybylo Dentist - General Practice 801 S Paulina St # 304d, Chicago, IL 60612-7210 2018-08-24
1770193971 Alex Sarpong Dentist 801 S Paulina St Rm 361, Chicago, IL 60612-7210 2020-08-03
1215537113 Jose A Villanueva Iv Student in an Organized Health Care Education/Training Program 801 S Paulina St, Chicago, IL 60612-7210 2020-10-29
1801220496 Alexandra Elena Rodriguez Senior Dentist 801 S Paulina St Rm 202b, Chicago, IL 60612-7210 2013-08-30
Find all in zip 60612-7210

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1922625268 Ufuk Vardar Internal Medicine 1969 Ogden Ave, Chicago, IL 60612 2020-07-02
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/C 850, Chicago, IL 60612 2020-04-20
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-S (mc 913), Chicago, IL 60612 2020-04-21
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1649874561 Kimberly Krupa Tadros Pharmacist Vamc Outpatient Pharmacy, 820 S Damen Ave, Chicago, IL 60612 2020-11-23
1205417524 Soraya Arzhan Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor St., Chicago, IL 60612 2021-04-19
1033793195 Idanis Perez-Alvarez Student in an Organized Health Care Education/Training Program 1275 W Harrison St, Professional Building-Suite 425, Chicago, IL 60612 2021-05-05
1093325763 Zahra Mostafa Al Khuridah Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor St., Chicago, IL 60612 2020-08-06
1932782877 Benjamin Stoltenberg Student in an Organized Health Care Education/Training Program University of Illinois Hospital, 1740 W. Taylor Street, Chicago, IL 60612 2021-04-29
Find all in zip 60612

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194392100 Ahmed Mudathir Hassan Mohamed Student in an Organized Health Care Education/Training Program 420 E Superior St., Ste 9-900, Chicago, IL 60611-4494 2021-06-08
1023685567 Jared Matthew Smith Student in an Organized Health Care Education/Training Program 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 2021-06-04
1649846189 Anne Danicek Student in an Organized Health Care Education/Training Program 2531 N Burling St # 2, Chicago, IL 60614-2509 2021-06-03
1629643036 Alan Tseng Student in an Organized Health Care Education/Training Program 1169 S Plymouth Ct Apt 120, Chicago, IL 60605-2055 2021-05-26
1245805639 Olivia Rae Nichols Student in an Organized Health Care Education/Training Program 3241 S Michigan Ave Ste 1, Chicago, IL 60616-3878 2021-05-26
1346815792 Jonathan Lee Poquiz Student in an Organized Health Care Education/Training Program 1440 N Dayton St Ofc 3046, Chicago, IL 60642-2644 2021-05-26
1578138376 Preston Allen Mercurius Banoub Student in an Organized Health Care Education/Training Program 1900 W Polk St Unit 611, Chicago, IL 60612-3723 2021-05-24
1043885924 Raisa Yewah Student in an Organized Health Care Education/Training Program 420 E Superior St, Chicago, IL 60611-4494 2021-05-24
1205401189 Jonathan Alcantar-Heredia Student in an Organized Health Care Education/Training Program 1853 W Polk St Rm 105c, Chicago, IL 60612-4355 2021-05-24
1235704016 Husamuldeen Dhari Student in an Organized Health Care Education/Training Program 4626 W Diversey Ave, Chicago, IL 60639-1829 2021-05-24
Find all providers in CHICAGO

Competitor

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City CHICAGO
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.