Healthcare Provider Details

I. General information

NPI: 1578068680
Provider Name (Legal Business Name): AMIT DHIRU PAREKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 CEDAR CROSSINGS DR
NEW LENOX IL
60451-5200
US

IV. Provider business mailing address

688 CEDAR CROSSINGS DR
NEW LENOX IL
60451-5200
US

V. Phone/Fax

Practice location:
  • Phone: 815-727-3030
  • Fax:
Mailing address:
  • Phone: 815-727-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number125.072572
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: