Parker, Eliza M

Parker, Eliza M is an individual health care provider with primary practice located at 34 E Oak Street, 6R , Chicago IL 60611-1231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Parker, Eliza M can be contacted via phone (312) 915-0195.

Contact Information

Primary practice address
34 E Oak Street, 6R Chicago IL 60611-1231
Phone: (312) 915-0195
Fax: (800) 858-1097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036123192 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301086462 Michigan

Profile Details

NPI number 1851333025
LBN Legal business name Parker, Eliza M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 13th, 2012 - about 12 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 1851333025 NPPES
Michigan MEDICAID 4779704
Michigan Other EP086462

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