Individual
DR. TANYA M PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5401 S WENTWORTH AVE, SUITE 14B, CHICAGO, IL 60609-6300
(773) 924-5297
(773) 373-3548
Mailing address
1133 E 83RD ST, UNIT # 204, CHICAGO, IL 60619-6450
(773) 721-7327
(773) 721-7351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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