MEDICARE: DR. BHARAT K PAREKH M.D.

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
1	207R00000X	Internal Medicine Physician		IL

General Provider Information

NPI Number	:	1689610024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHARAT K PAREKH M.D.

Provider Business Mailing Address
First Line	:	126 N TAYLOR AVE
Second Line	:	UNIT 2 SOUTH
City	:	OAK PARK
State	:	IL
Zip	:	60302-2561
Country	:	US
Telephone Number	:	708-466-6227
Fax Number	:	708-358-8589

Provider Business Practice Location Address
First Line	:	1010 LAKE ST
Second Line	:	SUITE 106
City	:	OAK PARK
State	:	IL
Zip	:	60301-1147
Country	:	US
Telephone Number	:	708-466-6227
Fax Number	:	708-358-8589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/09/2007

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