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Individual
BRUCE A PARISI
Active
Individual
BRUCE A PARISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036066062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066062
—
IL
01
—
F400437236
MEDICARE
IL
01
—
P01953164
RRM
IL
Enumeration date
09/14/2006
Last updated
12/19/2018
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