Paredes, Jose M

Paredes, Jose M is an individual health care provider with primary practice located at 17333 La Grange Rd Ste 200 , Tinley Park IL 60487-7510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Paredes, Jose M can be contacted via phone (708) 342-1900.

Contact Information

Primary practice address
17333 La Grange Rd Ste 200 Tinley Park IL 60487-7510
Phone: (708) 342-1900
Fax: (708) 745-9993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036064180 Illinois

Profile Details

NPI number 1609868819
LBN Legal business name Paredes, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 17th, 2018 - about 6 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 1609868819 NPPES
Illinois MEDICAID 036064180
Illinois Other 112528867
Illinois Other 0293780001

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