Provider Demographics
NPI:1306824511
Name:DIXIT, PARESH (MD)
Entity Type:Individual
Prefix:DR
First Name:PARESH
Middle Name:
Last Name:DIXIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:7808 W COLLEGE DR
Mailing Address - Street 2:SUITE 1 SE
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1027
Mailing Address - Country:US
Mailing Address - Phone:708-448-6300
Mailing Address - Fax:708-448-6350
Practice Address - Street 1:12251 S. 80TH AVE
Practice Address - Street 2:PALOS COMMUNITY HOSPITAL
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-923-4000
Practice Address - Fax:708-448-6350
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC37198Medicare UPIN
ILP00495Medicare PIN