Provider Demographics
NPI:1275274821
Name:PARECKI, GENEVIEVE (MD)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:PARECKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:ADRIAN
Other - Last Name:PARECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2215 N NORDICA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3210
Mailing Address - Country:US
Mailing Address - Phone:630-401-6073
Mailing Address - Fax:
Practice Address - Street 1:2215 N NORDICA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60707-3210
Practice Address - Country:US
Practice Address - Phone:630-401-6073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program