Parker, Johnny Dan

Parker, Johnny Dan is an individual health care provider with primary practice located at 8601 S Cottage Grove Ave , Chicago IL 60619-6107. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Parker, Johnny Dan can be contacted via phone (773) 783-7599.

Contact Information

Primary practice address
8601 S Cottage Grove Ave Chicago IL 60619-6107
Phone: (773) 783-7599
Fax: (773) 783-7698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X Illinois

Profile Details

NPI number 1952394751
LBN Legal business name Parker, Johnny Dan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952394751 NPPES
Illinois Other 60001157 BLUE CROSS BLUE SHIELD

Popular Providers