Individual
CHAD MICHAEL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2000 N NEIL ST, CHAMPAIGN, IL 61820-7808
(815) 821-3810
Mailing address
2000 N NEIL ST, CHAMPAIGN, IL 61820-7808
(815) 821-3810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010792
IL
Other
Enumeration date
06/24/2014
Last updated
07/21/2022
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