# ELLEN THERESE PARKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295001907
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036137516 | IL | Yes |
| 208000000X | Pediatrics Physician | 036137516 | IL | — |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 04/30/2021