Individual
DR. MAURA ELIZABETH PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6044 N AVONDALE AVE, CHICAGO, IL 60631-3114
(773) 763-1600
Mailing address
900 N LAKE SHORE DR APT 2202, CHICAGO, IL 60611-1576
(312) 823-8308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027569
IL
Other
Enumeration date
08/30/2017
Last updated
03/17/2018
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