Provider Demographics
NPI:1184159550
Name:PARIKH, CHIRAG AJAY (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:AJAY
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15101 ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7353
Mailing Address - Country:US
Mailing Address - Phone:708-514-2182
Mailing Address - Fax:
Practice Address - Street 1:4827 S ROUTE 59
Practice Address - Street 2:STE. 115
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8318
Practice Address - Country:US
Practice Address - Phone:630-527-6000
Practice Address - Fax:630-527-6127
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030121122300000X
NY058997122300000X
TX32674122300000X
IL0210028031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist