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1952394751
JOHNNY DAN PARKER
CHICAGO, IL
NPI
1952394751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: IL 016003150)
Enumeration Date
2005-08-26
Last Update Date
2007-07-08
Business Address
Dr. JOHNNY DAN PARKER d.p.m.
8601 S COTTAGE GROVE AVE
CHICAGO, IL 60619-6107
Phone number: 773-783-7599
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Mailing Address
Dr. JOHNNY DAN PARKER d.p.m.
8601 S COTTAGE GROVE AVE
CHICAGO, IL 60619-6107
Phone number: 773-783-7599
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