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Individual

DR. NICHOLAS PARRILLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1228 OGDEN AVE, DOWNERS GROVE, IL 60515-2740
(630) 810-9966
(630) 810-9596
Mailing address
1228 OGDEN AVE, DOWNERS GROVE, IL 60515-2740
(630) 810-9966
(630) 810-9596

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005231
IL
213E00000X
Podiatrist
07001088A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005231
IL
01
0732240001
DMERC # WITH PPG
01
09932699
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/10/2006
Last updated
05/22/2015
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