Provider Demographics
NPI:1336139161
Name:PARMET, PAUL D (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:D
Last Name:PARMET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9630 KENTON AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1216
Mailing Address - Country:US
Mailing Address - Phone:847-677-1631
Mailing Address - Fax:847-677-1406
Practice Address - Street 1:9630 KENTON AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1216
Practice Address - Country:US
Practice Address - Phone:847-677-1631
Practice Address - Fax:847-677-1406
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36-041216174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00178932OtherRAILROAD MEDICARE
ILP00178932OtherRAILROAD MEDICARE
ILK13580Medicare PIN
ILK13581Medicare PIN