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NPI Code Detail

MEDICARE: JOHN JAMES PARKS

MEDICARE:   JOHN JAMES PARKS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1811797467
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JAMES PARKS
Provider Business Mailing Address
First Line : 2616 CLOVER LN
Second Line :
City : STERLING
State : IL
Zip : 61081-9753
Country : US
Telephone Number : 608-630-7558
Fax Number :
Provider Business Practice Location Address
First Line : 2270 FORD PKWY
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-3337
Country : US
Telephone Number : 651-724-9411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2025
Last Update Date : 03/13/2025

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Directions to “ JOHN JAMES PARKS ” Practice Location

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