Healthcare Provider Details

I. General information

NPI: 1942308267
Provider Name (Legal Business Name): SHERMI V. PARIKH MEDICAL CORPORATION SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 04/01/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2454 E DEMPSTER ST
DES PLAINES IL
60016-5315
US

IV. Provider business mailing address

2454 E DEMPSTER ST
DES PLAINES IL
60016-5315
US

V. Phone/Fax

Practice location:
  • Phone: 708-788-3880
  • Fax: 847-699-3288
Mailing address:
  • Phone: 708-788-3880
  • Fax: 847-699-3288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number016-004938
License Number StateIL

VIII. Authorized Official

Name: SHERMI PARIKH
Title or Position: PODIATRIST
Credential: DPM
Phone: 773-818-6622