Individual
MS. ANNE THERESE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 NEWBERRY AVE, LA GRANGE PARK, IL 60526-1252
(708) 482-9228
Mailing address
1217 NEWBERRY AVE, LA GRANGE PARK, IL 60526-1252
(708) 482-9228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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