Parisi, Bruce A
Parisi, Bruce A is an individual health care provider with primary practice located at 1600 167Th St Ste 500 , Calumet City IL 60409-5457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Parisi, Bruce A can be contacted via phone (708) 868-1170.Contact Information
Primary practice address
1600 167Th St Ste 500
Calumet City IL 60409-5457
Phone: (708) 868-1170
Fax: (708) 868-1168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036066062 | Illinois |
Profile Details
| NPI number | 1003911009 |
|---|---|
| LBN Legal business name | Parisi, Bruce A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Dec 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003911009 | NPPES |
| Illinois | Other | P01953164 | RRM |
| Illinois | Other | F400437236 | RRM |
| Illinois | MEDICAID | 036066062 | RRM |
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