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Organization

DES PLAINES VALLEY FOOT CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS PARRILLI DPM (OWNER)
(815) 838-3669
Entity
Organization

Contact information

Practice address
123 E 9TH ST, SUITE 1B, LOCKPORT, IL 60441-3690
(815) 838-3668
Mailing address
123 E 9TH ST, SUITE 1B, LOCKPORT, IL 60441-3690
(815) 838-3668

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005231
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09932699
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/08/2007
Last updated
01/26/2011
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