MEDICARE: MR. FELIX PARKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1356738900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FELIX PARKER

Provider Business Mailing Address
First Line	:	1743 E 87TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2741
Country	:	US
Telephone Number	:	773-734-8998
Fax Number	:	773-375-8999

Provider Business Practice Location Address
First Line	:	1743 E 87TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2741
Country	:	US
Telephone Number	:	773-734-8998
Fax Number	:	773-375-8999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	12/05/2023

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Directions to “ MR. FELIX PARKER ” Practice Location

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