Individual
JANIS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5756 N RIDGE AVE STE 9, CHICAGO, IL 60660-5332
(773) 657-4142
Mailing address
7415 N PAULINA ST APT 3, CHICAGO, IL 60626-1896
(479) 462-9133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017051
IL
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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