Healthcare Provider Details

I. General information

NPI: 1710060561
Provider Name (Legal Business Name): ROBERT W. PARSONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 N. OAK PARK AVENUE
CHICAGO IL
60707
US

IV. Provider business mailing address

2211 N. OAK PARK AVENUE
CHICAGO IL
60707
US

V. Phone/Fax

Practice location:
  • Phone: 773-385-5501
  • Fax: 773-385-5488
Mailing address:
  • Phone: 773-385-5501
  • Fax: 773-385-5488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: