Parker, Anthony J.

Parker, Anthony J. is an individual health care provider with primary practice located at 5912 W Lawrence Ave , Chicago IL 60630-3130. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is his primary health care specialty. Parker, Anthony J. can be contacted via phone (773) 282-1541.

Contact Information

Primary practice address
5912 W Lawrence Ave Chicago IL 60630-3130
Phone: (773) 282-1541
Fax: (773) 282-4881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19A15148 Illinois
Dental Providers / Periodontics 1223P0300X 021001289 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021001200 Illinois

Profile Details

NPI number 1578697504
LBN Legal business name Parker, Anthony J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated May 29th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578697504 NPPES
Illinois Other 0080016184 BCBS MEDICAL PROVIDER #

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