Joanne G. Parks, MD, SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036086270 Issued in IL

Legal business name

JOANNE G. PARKS, MD, SC

Practice address

26400 West Falkirk Circle
Barrington, IL 60010

Phone

(847) 542-9780

Fax

(224) 655-2910

NPI assigned

Sep 5, 2007

Last updated

Oct 4, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joanne Gail Parks, M.D.NPI 1619019148

Title

Owner

Phone

(847) 542-9780

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Gail Parks, M.D.

  • Psychiatry Physician
  • Barrington, IL
  • NPI 1619019148
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1275727976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 WEST FALKIRK CIRCLE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-542-9780",
            "fax_number": "224-655-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 WEST FALKIRK CIRCLE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-542-9780",
            "fax_number": "224-655-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE G. PARKS, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-542-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036086270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0490572803",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.