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NPI Code Detail

MEDICARE: DR. PAUL NEMETH DO

MEDICARE: DR. PAUL NEMETH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician36090957IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1762690OTHERILGROUP MEDICARE PTAN
3K53235OTHERILMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21811997885OTHERILGROUP NPI

General Provider Information

NPI Number : 1417907577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL NEMETH DO
Provider Business Mailing Address
First Line : 701 WINTHROP AVE
Second Line :
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-1405
Country : US
Telephone Number : 630-545-5700
Fax Number : 630-545-5784
Provider Business Practice Location Address
First Line : 701 WINTHROP AVE
Second Line :
City : GLENDALE HEIGHTS
State : IL
Zip : 60139-1405
Country : US
Telephone Number : 630-545-5700
Fax Number : 630-545-5784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 02/02/2022

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