Provider Demographics
NPI:1376684753
Name:PARKHILL, JAMES EVERETT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EVERETT
Last Name:PARKHILL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29845 N FOREST LAKE LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-2468
Mailing Address - Country:US
Mailing Address - Phone:847-367-0814
Mailing Address - Fax:847-367-4436
Practice Address - Street 1:301 PETERSON RD
Practice Address - Street 2:STE B
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1041
Practice Address - Country:US
Practice Address - Phone:847-367-4433
Practice Address - Fax:847-367-4436
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice