Provider Demographics
NPI:1063864734
Name:PAREKH, PREYANSHU M (DO)
Entity type:Individual
Prefix:
First Name:PREYANSHU
Middle Name:M
Last Name:PAREKH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MCDONOUGH RD STE 211
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4565
Mailing Address - Country:US
Mailing Address - Phone:630-635-3650
Mailing Address - Fax:949-703-7839
Practice Address - Street 1:1800 MCDONOUGH RD STE 211
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4565
Practice Address - Country:US
Practice Address - Phone:630-635-3650
Practice Address - Fax:949-703-7839
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI88-321207Q00000X
IL036150563207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1063864734Medicaid
IL036150563OtherSTATE LICENSE