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NPI Code Detail

MEDICARE: INTERACTIVE PHYSICIANS LTD

MEDICARE: INTERACTIVE PHYSICIANS LTD
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
1213ES0103XFoot & Ankle Surgery Podiatrist16004998IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC4879OTHERILRAILROAD MEDICARE

General Provider Information

NPI Number : 1093844169
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERACTIVE PHYSICIANS LTD
Provider Business Mailing Address
First Line : 2150 W MCLEAN AVE
Second Line : SUITE 1E
City : CHICAGO
State : IL
Zip : 60647
Country : US
Telephone Number : 312-493-3114
Fax Number : 866-904-2944
Provider Business Practice Location Address
First Line : 2150 WEST MCLEAN AVE
Second Line : #1E
City : CHICAGO
State : IL
Zip : 60647-5628
Country : US
Telephone Number : 312-493-3114
Fax Number : 866-904-2944
Authorized Official
Title or Position : OWNER
Name : DR. PARAS PAREKH
Credential : D.P.M.
Telephone Number : 312-493-3114
Provider Enumeration Date : 03/05/2007
Last Update Date : 04/15/2008

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Directions to “INTERACTIVE PHYSICIANS LTD ” Practice Location

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