Provider Demographics
NPI:1114914884
Name:PARIKH, SHERMI V (DPM)
Entity Type:Individual
Prefix:
First Name:SHERMI
Middle Name:V
Last Name:PARIKH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4255 W 63RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-5041
Mailing Address - Country:US
Mailing Address - Phone:773-818-6622
Mailing Address - Fax:
Practice Address - Street 1:4255 W 63RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-5041
Practice Address - Country:US
Practice Address - Phone:773-818-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-28
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004938213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001638530OtherBLUE CROSS BLUE SHIELD
IL0001638530OtherBLUE CROSS BLUE SHIELD
IL4824800001Medicare NSC
IL230864Medicare PIN