Individual
MRS. SHOLONDA L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8729 S LOOMIS ST, CHICAGO, IL 60620-3420
(773) 429-9021
Mailing address
8729 S LOOMIS ST, CHICAGO, IL 60620-3420
(773) 429-9021
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
IL
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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