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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1003911009 NPPES
Illinois Other P01953164 RRM
Illinois Other F400437236 RRM
Illinois MEDICAID 036066062 RRM

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