Provider Demographics
NPI:1275540528
Name:PAREDES, EMERY JOHN (PT)
Entity Type:Individual
Prefix:
First Name:EMERY
Middle Name:JOHN
Last Name:PAREDES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 42
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4134
Mailing Address - Country:US
Mailing Address - Phone:847-593-3330
Mailing Address - Fax:847-593-3346
Practice Address - Street 1:2357 HASSELL RD
Practice Address - Street 2:STE 204
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2172
Practice Address - Country:US
Practice Address - Phone:847-839-8888
Practice Address - Fax:847-839-9660
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK27481Medicare ID - Type Unspecified