Individual
ELLEN THERESE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 N YORK ST, ELMHURST, IL 60126-2377
(708) 327-7030
(630) 833-8834
Mailing address
7005 NORTH AVE, OAK PARK, IL 60302-1001
(708) 327-1410
(708) 383-8932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036137516
IL
208000000X
Pediatrics Physician
036137516
IL
Other
Enumeration date
03/27/2012
Last updated
04/30/2021
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