Provider Demographics
NPI:1942336755
Name:PARIKH & ABBASI MDSC
Entity Type:Organization
Organization Name:PARIKH & ABBASI MDSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-206-1090
Mailing Address - Street 1:17680 S. KEDZIE AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429
Mailing Address - Country:US
Mailing Address - Phone:708-206-0190
Mailing Address - Fax:708-310-4327
Practice Address - Street 1:17680 KEDZIE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2043
Practice Address - Country:US
Practice Address - Phone:708-206-0190
Practice Address - Fax:708-310-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042 006610207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001618484OtherBLUE CROSS BLUE SHIELD
IL036068401Medicaid
ILCA8400OtherRAIL ROAD MEDICARE
IL036057523Medicaid
IL036077608Medicaid
IL036068401Medicaid