Provider Demographics
NPI:1093844169
Name:INTERACTIVE PHYSICIANS LTD
Entity Type:Organization
Organization Name:INTERACTIVE PHYSICIANS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:312-493-3114
Mailing Address - Street 1:2150 W MCLEAN AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647
Mailing Address - Country:US
Mailing Address - Phone:312-493-3114
Mailing Address - Fax:866-904-2944
Practice Address - Street 1:2150 WEST MCLEAN AVE
Practice Address - Street 2:#1E
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5628
Practice Address - Country:US
Practice Address - Phone:312-493-3114
Practice Address - Fax:866-904-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL16004998213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILDC4879OtherRAILROAD MEDICARE
IL5847410001Medicare NSC
ILU89545Medicare UPIN
IL208599Medicare ID - Type Unspecified