Pareja, Xavier A
Pareja, Xavier A is an individual health care provider with primary practice located at 1044 N Mozart St Ste 405 , Chicago IL 60622-2790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Pareja, Xavier A can be contacted via phone (773) 825-6549.Contact Information
Primary practice address
1044 N Mozart St Ste 405
Chicago IL 60622-2790
Phone: (773) 825-6549
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036104737 | Illinois |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 036104737 | Illinois |
Profile Details
NPI number | 1053379578 |
---|---|
LBN Legal business name | Pareja, Xavier A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Dec 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053379578 | NPPES |
Illinois | MEDICAID | 036104737 |
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