Individual
MIDORI TAKEYASU PAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 WARRENVILLE RD, LISLE, IL 60532-1348
(630) 432-6180
Mailing address
1860 PAYSHERE CIRCLE, CHICAGO, IL 60674-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036094882
IL
Other
Enumeration date
07/22/2005
Last updated
10/10/2017
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