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Dr. Johnny Dan Parker, DPM
Primary Podiatric Medicine Podiatrist in Chicago, Illinois
NPI 1952394751

Johnny Dan Parker is a Primary Podiatric Medicine Podiatrist based in Chicago, IL and is specialized in Primary Podiatric Medicine. Johnny Dan Parker practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Johnny Dan Parker is 1952394751 and holds a License No. (Illinois).

The current practice location address for Johnny Dan Parker is 8601 S Cottage Grove Ave, Chicago, IL and can be reached out via phone at 773-783-7599 and via fax at 773-783-7698. You can also correspond with Johnny Dan Parker through the mailing address at 8601 S COTTAGE GROVE AVE, CHICAGO, IL - 60619-6107 (mailing address contact number: 773-783-7599).

Location: 8601 S Cottage Grove Ave, Chicago, IL, 60619-6107
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Provider Profile Details
NPI Number
1952394751
Provider Name
Johnny Dan Parker
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
8601 S Cottage Grove Ave, Chicago, IL, 60619-6107
Phone Number
773-783-7599
Fax Number
773-783-7698
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60001157 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8601 S Cottage Grove Ave
City
State
Zip
60619-6107
Phone Number
773-783-7599
Fax Number
773-783-7698
person
Provider Business Mailing Address Details
Address
8601 S Cottage Grove Ave
City
State
Zip
60619-6107
Phone Number
773-783-7599
Fax Number
773-783-7698
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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