Provider Demographics
NPI:1942308267
Name:SHERMI V. PARIKH MEDICAL CORPORATION SC
Entity Type:Organization
Organization Name:SHERMI V. PARIKH MEDICAL CORPORATION SC
Other - Org Name:FAMILY FOOT AND ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERMI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:773-818-6622
Mailing Address - Street 1:2454 E DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5315
Mailing Address - Country:US
Mailing Address - Phone:708-788-3880
Mailing Address - Fax:847-699-3288
Practice Address - Street 1:2454 E DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5315
Practice Address - Country:US
Practice Address - Phone:708-788-3880
Practice Address - Fax:847-699-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-004938213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001638530OtherBLUE CROSS BLUE SHIELD
IL1114914884OtherNPI NUMBER
ILP00118678OtherRAILROAD MEDICARE
IL4824800001Medicare NSC
IL230864Medicare PIN
IL0001638530OtherBLUE CROSS BLUE SHIELD
ILK49766Medicare PIN