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Contact Information

MARTIN M PARKER, PSY.D. CADC MISA II
1780 MAPLE ST
NORTHFIELD, IL60093-3021
 Phone: 847-446-7755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARTIN M PARKER · (Male)

NPI Number 1033324074
Status Active
Credentials PSY.D. CADC MISA II
Entity Individual
Enumeration date 05/12/2007
Last updated 07/31/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # #11830
  • IL License # #1186
  • IL License # 071.007725
  • MN License # #1459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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