Individual
PARKER SCOTT JADWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9300
Mailing address
1775 DEMPSTER ST, OFFICE S240 - MAILBOX #54, PARK RIDGE, IL 60068-1174
(847) 723-5986
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.083322
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2024
Last updated
06/13/2024
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