Provider Demographics
NPI:1376527044
Name:PARIKH, DILIPKUMAR C (MD)
Entity Type:Individual
Prefix:
First Name:DILIPKUMAR
Middle Name:C
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DILIP
Other - Middle Name:C
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16 SILO RIDGE ROAD WEST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7330
Mailing Address - Country:US
Mailing Address - Phone:708-206-1091
Mailing Address - Fax:708-310-4327
Practice Address - Street 1:6307 S STEWART AVE # 301
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-3116
Practice Address - Country:US
Practice Address - Phone:773-962-4183
Practice Address - Fax:708-310-4327
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036057523207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036057523Medicaid
IL110006115OtherRAIL ROAD MEDICARE
IL0031600728OtherBLUE CROSS/BLUE SHIELD
IL0031600728OtherBLUE CROSS/BLUE SHIELD
IL036057523Medicaid
IL692590Medicare PIN