Provider Demographics
NPI:1588648414
Name:PAREKH, PARAS K (DPM)
Entity Type:Individual
Prefix:DR
First Name:PARAS
Middle Name:K
Last Name:PAREKH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 476799
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-0980
Mailing Address - Country:US
Mailing Address - Phone:312-493-3114
Mailing Address - Fax:806-904-2944
Practice Address - Street 1:2320 N DAMEN AVE
Practice Address - Street 2:#1F
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3367
Practice Address - Country:US
Practice Address - Phone:312-493-3114
Practice Address - Fax:806-904-2944
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL16004998213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01632194OtherBCBS
ILP00172039OtherRAILROAD MEDICARE
IL01632194OtherBCBS
ILP00172039OtherRAILROAD MEDICARE