Individual provider Active NPI

C. Woodworth Parker, D.O.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1831552876
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.172111 Issued in IL
Practice address
5645 W Addison St
Chicago, IL 60634-2881
Phone
(773) 794-7601
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.172111 IL Primary

Addresses

Primary practice location

5645 W Addison St
Chicago, IL 60634-2881

Mailing address

5833 N Sheridan Rd
Chicago, IL 60660-3835
Phone (816) 304-1599

Other practice location 1

600 S Paulina St
Chicago, IL 60612-3806
Phone (321) 710-5444

Other names 1

  • Dr. Christopher Woodworth Parker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104000841 IL Practitioner - Emergency Medicine 8820408735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.172111ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Oct 20, 2025 Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine CurrentSince Oct 14, 2024 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1831552876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603835",
            "telephone_number": "816-304-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342881",
            "telephone_number": "773-794-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Paulina St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123806",
            "country_code": "US",
            "telephone_number": "321-710-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "C. WOODWORTH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.172111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "PARKER",
            "middle_name": "WOODWORTH",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.