Physician Compare National (NPI:1154560696)

HEALTHCARE PROVIDER: YONG WOON PARK D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154560696
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062567936
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090827000715
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PARK
	Individual professional last name
Provider First Name	YONG
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9408 N WAUKEGAN RD
	Group Practice or individual's line 1 address
City	MORTON GROVE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600531352
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y