Individual
WALTER A PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 GOOD SAMARITAN WAY, SUITE 220, MOUNT VERNON, IL 62864-2408
(618) 899-3900
(618) 899-4786
Mailing address
2 GOOD SAMARITAN WAY, SUITE 220, MOUNT VERNON, IL 62864-2408
(618) 899-3900
(618) 899-4786
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036112518
IL
207RI0011X
Interventional Cardiology Physician
036112518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010032059
BCBS
IL
05
—
036112518
—
IL
Enumeration date
08/19/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us