Ellen Therese Parker MD

NPI 1295001907 - Pediatrics - 208000000X

NPI Details
NPI 1295001907
Gender Female
Enumeration Date 03/27/2012
Last Updated 02/18/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-3145
Fax (708) 327-9132
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-3282
Fax (708) 327-9132
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 125061740
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According to our database, Ellen Therese Parker MD NPI is 1295001907, taxonomy code is 208000000X and license number is 125061740, license state is located at Illinois. Ellen Therese Parker MD physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Ellen Therese Parker MD has the Individual type.

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1295001907 NPI number is provided on an as is basis without warranty of any kind. 1295001907 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Therese Parker MD are for informational purposes only.