Pardo, Beatriz C

Pardo, Beatriz C is an individual health care provider with primary practice located at 1418 Cross St Ste 250 , Belleville IL 62269-2988. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pardo, Beatriz C can be contacted via phone (618) 236-8000.

Contact Information

Primary practice address
1418 Cross St Ste 250 Belleville IL 62269-2988
Fax: (618) 236-8005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036092347 Illinois

Profile Details

NPI number 1780670844
LBN Legal business name Pardo, Beatriz C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780670844 NPPES
Illinois MEDICAID 1780670844
Illinois MEDICAID 036092347

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