MEDICARE: SHERMI V PARIKH DPM

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	213E00000X	Podiatrist	016004938	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001638530	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1114914884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERMI V PARIKH DPM

Provider Business Mailing Address
First Line	:	4255 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-5041
Country	:	US
Telephone Number	:	773-818-6622
Fax Number	:

Provider Business Practice Location Address
First Line	:	4255 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-5041
Country	:	US
Telephone Number	:	773-818-6622
Fax Number	:

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

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	05/20/2014

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Directions to “ SHERMI V PARIKH DPM” Practice Location

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