| Pilsen Pediatrics | |
|
1952 W Cermak Rd Chicago IL 60608-4204 | |
| (773) 254-6611 | |
| (773) 254-8590 |
| Full Name | Pilsen Pediatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 1952 W Cermak Rd, Chicago, Illinois |
| Authorized Official Name and Position | Mahendra H Parekh (OWNER) |
| Authorized Official Contact | 7732546611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilsen Pediatrics 1952 W Cermak Rd Chicago IL 60608-4204 Ph: (773) 254-6611 | Pilsen Pediatrics 1952 W Cermak Rd Chicago IL 60608-4204 Ph: (773) 254-6611 |
| NPI Number | 1003040130 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003040130 | NPI | - | NPPES |
| 036067950 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036067950 (Illinois) | Primary |
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