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Individual
JEFFREY D PARKS
Active
Individual
JEFFREY D PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036062597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033308
HEALTH ALLIANCE
—
05
—
036062597
—
IL
01
—
080077375
RAILROAD MEDICARE
—
01
—
10019630
BLUE CROSS
IL
01
—
10019630
BLUE CROSS/BLUE SHIELD
—
01
—
103788
HEALTHLINK
—
05
—
143870
—
IL
Enumeration date
08/24/2006
Last updated
05/09/2023
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