Clarence A Parks
M.D. | Pediatrics | Male
Clarence A Parks, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Clarence A Parks is
1645 W Jackson Blvd, Suite 215, Chicago, Illinois - 60612-3276. He can be contacted on phone at
312-942-6800 and fax number 312-942-3551.
Clarence A Parks is a sole proprietor of his business.
NPI number (Unique professional ID) for Clarence A Parks is
1245203512 which was assigned by NPPES on 08 Feb, 2006 and it was last updated on 03 Jun, 2009.
Clarence A Parks license number is
036-105357 for Pediatrics (208000000X) in Illinois.
Clarence A Parks is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Clarence A Parks basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Clarence A Parks |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Clarence A Parks address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1645 W Jackson Blvd, Suite 215
Chicago, IL, 60612-3276
United States |
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| Phone Number : | 312-942-6800 |
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| Fax Number : | 312-942-3551 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245203512 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Feb, 2006 |
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| Last Updated On : | 03 Jun, 2009 |
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Medicare Participation:
Clarence A Parks participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8325198351 |
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| Medicare Enrollment ID : | I20090611000684 |
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| Primary Specialty : | Hospitalist |
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| Medical School : | Rush Medical College Of Rush University |
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| Graduation Year : | 1997 |
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| Accepts Medicare? | Yes. Clarence A Parks accepts medicare insurance. |
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Group Practice Association:
Clarence A Parks is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Clarence A Parks is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Freeport Memorial Hospital | 8426958232 | 107 | 1045 W Stephenson St
Freeport, IL - 610324864
Ph: 8155996000 | Yes |
| Freeport Regional Health Care Foundation | 9234041682 | 92 | 1010 Fairway Dr
Freeport, IL - 610326600
Ph: 8155997421 | Yes |
| Freeport Regional Health Care Foundation | 9234041682 | 92 | 725 N Pearl St
Stockton, IL - 610859267
Ph: 8159473211 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clarence A Parks are as mentioned. Primary taxonomy code for Clarence A Parks, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | 036105357 | IL |
| 208000000X | Pediatrics | Yes | 036-105357 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Clarence A Parks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036105351 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1645 W Jackson Blvd, Suite 215
Chicago, IL, 60612-3276
United States |
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| Phone Number : | 312-942-6800 |
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| Fax Number : | 312-942-3551 |
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Business Location:
Patients can refer following map for directions to
Clarence A Parks practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.