Provider Demographics
NPI:1366889503
Name:PARKER AND ASSOCIATES, D.D.S, P.C.
Entity type:Organization
Organization Name:PARKER AND ASSOCIATES, D.D.S, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCRIMMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-282-1541
Mailing Address - Street 1:5912 W LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-3305
Mailing Address - Country:US
Mailing Address - Phone:773-282-1541
Mailing Address - Fax:773-282-4881
Practice Address - Street 1:5912 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-3305
Practice Address - Country:US
Practice Address - Phone:773-282-1541
Practice Address - Fax:773-282-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty