Samuel-Parks, Carla Denise
Samuel-Parks, Carla Denise is an individual health care provider with primary practice located at 1001 Commercial Dr , Mahomet IL 61853-8625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Samuel-Parks, Carla Denise can be contacted via phone (217) 586-6600.Contact Information
Primary practice address
1001 Commercial Dr
Mahomet IL 61853-8625
Phone: (217) 586-6600
Fax: (217) 366-6106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036124333 | Illinois |
Profile Details
| NPI number | 1326245655 |
|---|---|
| LBN Legal business name | Samuel-Parks, Carla Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Jan 6th, 2022 - about 3 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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