Provider Demographics
NPI:1841871233
Name:MCPARLAND, MIMI (DC)
Entity type:Individual
Prefix:DR
First Name:MIMI
Middle Name:
Last Name:MCPARLAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20601 MICHIGAN ISLAND CT
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3517
Mailing Address - Country:US
Mailing Address - Phone:708-469-9173
Mailing Address - Fax:
Practice Address - Street 1:10751 165TH ST STE 100
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-8702
Practice Address - Country:US
Practice Address - Phone:708-403-5075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor