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Individual
JOHN JAMES FISKE PARKER
Active
Individual
JOHN JAMES FISKE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036156702
IL
208000000X
Pediatrics Physician
Primary
036156702
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
10/29/2021
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