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Individual
DR. XAVIER W PARRENO
Active
Individual
DR. XAVIER W PARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097735
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097735
—
IL
01
—
14D1039883
CLIA
IL
01
—
202117968
TAX ID #
IL
01
—
4932456
BCBS
IL
01
—
K18087
MCR PIN COOK COUNTY
IL
01
—
K18088
MCR PIN LAKE COUNTY
IL
Enumeration date
03/03/2006
Last updated
03/30/2017
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