Provider Demographics
NPI:1831374172
Name:PARIKH, NIRALI RITESH (MD)
Entity type:Individual
Prefix:
First Name:NIRALI
Middle Name:RITESH
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 OAKMONT LN
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5547
Mailing Address - Country:US
Mailing Address - Phone:630-288-6215
Mailing Address - Fax:630-563-1122
Practice Address - Street 1:701 WINTHROP AVE
Practice Address - Street 2:AMBULATORY CARE
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1405
Practice Address - Country:US
Practice Address - Phone:630-909-9050
Practice Address - Fax:630-388-0443
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.119251390200000X
IL036119251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036119251 1Medicaid
ILR02690Medicare PIN
ILIL2670003Medicare PIN
ILP00646058Medicare PIN
ILIL2564005Medicare PIN