| Xavier W. Parreno, M.d., S.c. | |
|
135 Greenleaf St Suite 100 Gurnee IL 60031-3334 | |
| (847) 336-2150 | |
| (847) 336-2160 |
| Full Name | Xavier W. Parreno, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Greenleaf St, Gurnee, Illinois |
| Authorized Official Name and Position | Xavier W Parreno (OWNER) |
| Authorized Official Contact | 8473362150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xavier W. Parreno, M.d., S.c. 135 Greenleaf St Suite 100 Gurnee IL 60031-3334 Ph: (847) 336-2150 | Xavier W. Parreno, M.d., S.c. 135 Greenleaf St Suite 100 Gurnee IL 60031-3334 Ph: (847) 336-2150 |
| NPI Number | 1386850378 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 09/02/2016 |
| Medicare PECOS PAC ID | 2163585076 |
|---|---|
| Medicare Enrollment ID | O20090120000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386850378 | NPI | - | NPPES |
| DF7056 | Other | IL | RAILROAD MEDICARE |
| 036097735 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Xavier W Parreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023085479 PECOS PAC ID: 5991749228 Enrollment ID: I20050617000214 |
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