Organization
PARISE PREFERRED PODIATRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PARISE DPM (OWNER OF GROUP)
(773) 208-4443
Entity
Organization
Contact information
Practice address
675 W NORTH AVE STE 409, MELROSE PARK, IL 60160-1624
(773) 208-4443
Mailing address
675 W NORTH AVE STE 104, MELROSE PARK, IL 60160-1622
(773) 208-4443
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
06/28/2019
Last updated
11/20/2022
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