Provider Demographics
NPI:1801947338
Name:PARK, ZOON H (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZOON
Middle Name:H
Last Name:PARK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9923 N HUBER LN
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1016
Mailing Address - Country:US
Mailing Address - Phone:847-965-6537
Mailing Address - Fax:847-965-0433
Practice Address - Street 1:9923 N HUBER LN
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1016
Practice Address - Country:US
Practice Address - Phone:847-965-6537
Practice Address - Fax:847-965-0433
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy