Provider Demographics
NPI:1326244682
Name:PARR, MARIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:S
Last Name:PARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5611 STONEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-2855
Mailing Address - Country:US
Mailing Address - Phone:727-871-9944
Mailing Address - Fax:
Practice Address - Street 1:OSF SAINT FRANCIS MEDICAL CENTER
Practice Address - Street 2:530 N.E.GLEN OAK AVE.
Practice Address - City:PEORIA
Practice Address - State:FL
Practice Address - Zip Code:61637
Practice Address - Country:US
Practice Address - Phone:309-655-2702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.0535082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology