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1184039539
CHAD MICHAEL PARKS
CHAMPAIGN, IL
NPI
1184039539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046010792)
Enumeration Date
2014-06-24
Last Update Date
2022-07-21
Business Address
-- CHAD MICHAEL PARKS O.D.
2000 N NEIL ST
CHAMPAIGN, IL 61820-7808
Phone number: 815-821-3810
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Mailing Address
-- CHAD MICHAEL PARKS O.D.
2000 N NEIL ST
CHAMPAIGN, IL 61820-7808
Phone number: 815-821-3810
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