SE WON PARK
NPI 1104793314
Student in an Organized Health Care Education/Training Program in Maywood, IL
About Se Won Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SE WON PARK (NPI 1104793314) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since October 2025.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Se Won Park's NPI number?
The NPI number for Se Won Park is 1104793314. It was assigned to this individual provider in the NPPES registry on October 22, 2025. The provider is also known as Anna Park.
Where is Se Won Park located?
Se Won Park practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-3229.
What is Se Won Park's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Se Won Park was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
