Individual
JORGE PARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2160 S 1ST AVE, (LUH-NORTH ENT., RM. 7604), MAYWOOD, IL 60153
(708) 216-3232
(708) 216-1259
Mailing address
2160 S 1ST AVE, (LUH-NORTH ENT., RM. 7604), MAYWOOD, IL 60153
(708) 216-3232
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
36096125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36096125
—
IL
Enumeration date
12/28/2005
Last updated
02/08/2022
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