Organization
JOSE P PARCON M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA PARCON (OFFICE MANAGER)
(217) 942-6984
Entity
Organization
Contact information
Practice address
727 9TH ST, CARROLLTON, IL 62016-1427
(217) 942-6984
Mailing address
727 9TH ST, CARROLLTON, IL 62016-1427
(217) 942-6984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036048798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048798
—
IL
Enumeration date
08/26/2009
Last updated
01/26/2012
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