Johnny Dan Parker in Chicago - Primary Podiatric Medicine
Johnny Dan Parker - NPI 1952394751
Johnny Dan Parker is a Primary Podiatric Medicine in Chicago, Illinois. Johnny Dan Parker practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Johnny Dan Parker is 1952394751. The last update date is 2007-07-08.
Johnny Dan Parker's current location address is 8601 S Cottage Grove Ave, Chicago, Illinois. You can contact this provider via phone number 7737837599 and fax number 7737837698. The mailing address for Johnny Dan Parker is 8601 S Cottage Grove Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Dan Parker |
|---|---|
| Address | 8601 S Cottage Grove Ave, Chicago, Illinois |
| Phone Number | 7737837599 |
| Fax Number | 7737837698 |
| Sole Proprietor | X |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1952394751 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8601 S Cottage Grove Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606196107 |
| Phone Number | 7737837599 |
| Fax Number | 7737837698 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60001157 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Johnny Dan Parker's 1952394751?
The Johnny Dan Parker's NPI (National Provider Identifier) Number is 1952394751. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Johnny Dan Parker's facilities are situated?
The facilities of Johnny Dan Parker are physically located at the following address: 8601 S Cottage Grove Ave, Chicago, IL, 606196107.
What is Johnny Dan Parker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Johnny Dan Parker is Primary Podiatric Medicine, and the corresponding taxonomy classification code for this specialized field is 213Ep1101X.
On what date did the Johnny Dan Parker receive the assignment of its 1952394751 from the Centers for Medicare & Medicaid Services?
The Johnny Dan Parker was issued its 1952394751 by the Centers for Medicare & Medicaid Services on 2005-08-26.
As of what date were the details pertaining to Johnny Dan Parker last refreshed?
The information related to the Johnny Dan Parker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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