MEDICARE: DR. JULIE EUNNAH PARK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	P9592	MD
2	2086S0122X	Plastic and Reconstructive Surgery Physician	036121570	IL

General Provider Information

NPI Number	:	1316084593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE EUNNAH PARK M.D.

Provider Business Mailing Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC 6035
City	:	CHICAGO
State	:	IL
Zip	:	60637-1470
Country	:	US
Telephone Number	:	773-702-6302
Fax Number	:	773-702-1634

Provider Business Practice Location Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC 6035
City	:	CHICAGO
State	:	IL
Zip	:	60637-1470
Country	:	US
Telephone Number	:	773-702-6302
Fax Number	:	773-702-1634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	04/29/2009

Similar Medicare Providers

1629098231 — ANNIE LAURIE WIDLICKA MS, RD, LDN
Practice Location Address:

5841 S MARYLAND AVE
CHICAGO, IL
60637-1470

Practice Phone: 773-702-1000
Practice Fax:

1356483408 — MRS. LISA BETH ZOBERMAN RD, LDN
Practice Location Address:

DCAM 0411, MC 9006 , 5758 S MARYLAND AVE
CHICAGO, IL
60637-1470

Practice Phone: 773-702-6860
Practice Fax: 773-834-7167

1679603302 — STEFANO GUANDALINI M.D,
Practice Location Address:

UNIVERSITY OF CHICAGO, SECTION OF PEDS GASTRO , 5839 SOUTH MARYLAND AVENUE, MC 4065
CHICAGO, IL
60637-1470

Practice Phone: 773-702-6418
Practice Fax: 773-702-0666

1649300385 — BARBARA S. KIRSCHNER M.D.
Practice Location Address:

UNIVERSITY OF CHICAGO, PEDS GASTRO , 5839 SOUTH MARYLAND AVENUE, MC 4065
CHICAGO, IL
60637-1470

Practice Phone: 773-702-6418
Practice Fax: 773-702-0666

1659574879 — DR. JANNINE CAOILI JOYCE M.D.
Practice Location Address:

5721 S MARYLAND AVE
CHICAGO, IL
60637-1470

Practice Phone: 773-702-3056
Practice Fax: 773-702-0764

1265621668 — CHRISTINA M. WARNER-METZGER PH.D.
Practice Location Address:

5841 S MARYLAND AVE , MC 3077
CHICAGO, IL
60637-1470

Practice Phone: 773-702-3127
Practice Fax: 773-702-9929

Directions to “ DR. JULIE EUNNAH PARK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.