Organization
AUGUSTO N. PAREJA MD SC
Active
Other names
Pareja Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO N PAREJA MD (PRESIDENT)
(773) 434-8026
Entity
Organization
Contact information
Practice address
3232 W 55TH ST, CHICAGO, IL 60632-2638
(773) 434-8026
(773) 434-8107
Mailing address
3232 W 55TH ST, CHICAGO, IL 60632-2638
(773) 434-8026
(773) 434-8107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.065907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065907
—
IL
Enumeration date
12/07/2007
Last updated
06/22/2012
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