Individual
DR. JONATHAN CHARLES PARKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 N RANDALL RD, BATAVIA, IL 60510-1992
(630) 482-6600
Mailing address
815 N RANDALL RD, BATAVIA, IL 60510-1992
(630) 482-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01082742A
IN
207Q00000X
Family Medicine Physician
Primary
36069180
IL
Other
Enumeration date
02/05/2007
Last updated
08/15/2019
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