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NPI Code Detail

MEDICARE: DR. SHAILY PARAMJEET MACKER MD

MEDICARE:  DR. SHAILY PARAMJEET MACKER  MD
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
1207Q00000XFamily Medicine Physician61762AZ
2207Q00000XFamily Medicine Physician036135004IL
3207Q00000XFamily Medicine PhysicianA91265CA
4207Q00000XFamily Medicine Physician48216-020WI
5207Q00000XFamily Medicine Physician01072590AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F400371480OTHERILMEDICARE
2151020013OTHERINMEDICARE PTAN
4P01225600OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598859316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAILY PARAMJEET MACKER MD
Provider Business Mailing Address
First Line : 1719 N DYSART RD
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-1213
Country : US
Telephone Number : 815-941-9124
Fax Number : 815-941-4363
Provider Business Practice Location Address
First Line : 105 SARAVANOS RD
Second Line :
City : YORKVILLE
State : IL
Zip : 60560-5813
Country : US
Telephone Number : 630-553-4600
Fax Number : 815-705-1701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/24/2021

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Directions to “ DR. SHAILY PARAMJEET MACKER MD” Practice Location

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