Individual
MR. JOHN M PARGULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
03035
IA
207RC0000X
Cardiovascular Disease Physician
Primary
036.145032
IL
207RC0000X
Cardiovascular Disease Physician
3035
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014459
GROUP MISSOURI MEDICARE
MO
05
—
0140798
—
IA
01
—
060040783
RAILROAD MEDICARE
IA
05
—
1629051958
—
IA
01
—
CD4547
RR GROUP NUMBER
IA
Enumeration date
11/21/2005
Last updated
07/12/2022
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