Individual
PASCHAL U OPARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7845 S COTTAGE GROVE AVE, 108, CHICAGO, IL 60619-3100
(773) 224-3500
(773) 224-5837
Mailing address
7845 S COTTAGE GROVE AVE, 108, CHICAGO, IL 60619-3100
(773) 224-3500
(773) 224-5837
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
16004576
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001762
BLUECROSS BLUESHIELD
IL
Enumeration date
06/02/2006
Last updated
07/08/2007
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