Individual
JOHN JAMES FISKE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6844
(312) 227-9530
Mailing address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
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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