Tanique Parker, APRN
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1013744580
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1013744580
- Entity type
- Individual (NPI-1)
- Name
- Tanique Parker
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209030579 | IL | Yes |
Practice location
1520 N Damen AveChicago, IL 60622-1967
Phone 312-283-5560
Mailing address
1520 N Damen AveChicago, IL 60622-1967
Phone 312-283-5560
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