| Doctor Name: | CAROL LYNN PARKS |
| NPI Number: | 1013100775 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 209.006231 |
| Business Practice Address: | 7865 Grand Blvd Hobart, IN - 463426665 |
| Business Phone Number: | 2199450669 |
| Business Fax Number: | 2199455669 |
| Mailing Address: | 7865 Grand Blvd, HOBART |
| State: | IN |
| Postal Code: | 463426665 |
| Phone Number: | 2199450669 |
| Fax Number: | 2199455669 |
| NPI Enumeration Date: | 08/24/2007 |
| NPI Last Update Date: | 04/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.006231 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |