Individual
BEATRIZ C PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1418 CROSS ST STE 250, BELLEVILLE, IL 62269-2988
(618) 236-8000
(618) 236-8005
Mailing address
1418 CROSS ST STE 250, SHILOH, IL 62269-2988
(618) 236-8000
(618) 236-8005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092347
—
IL
05
—
1780670844
—
IL
Enumeration date
09/23/2005
Last updated
02/26/2021
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