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Individual

DR. JAY CHARLES PARSONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
6374 N LINCOLN AVE STE 314, CHICAGO, IL 60659-1283
(773) 866-9800
Mailing address
6374 N LINCOLN AVE STE 314, CHICAGO, IL 60659-1283
(773) 866-9800
(773) 866-1733

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005248
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001623503
BCBS
IL
05
016005248
IL
01
P00307283
RAILROAD MEDICARE
IL
Enumeration date
08/08/2006
Last updated
07/17/2008
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