Individual
AUGUSTO N PAREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
036065907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036065907 / 03
—
IL
Enumeration date
12/07/2005
Last updated
06/08/2012
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