| Mahyar Parvin Pc | |
|
24821 W 135th St Plainfield IL 60544-5413 | |
| (815) 254-7400 | |
| (815) 254-7408 |
| Full Name | Mahyar Parvin Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 24821 W 135th St, Plainfield, Illinois |
| Authorized Official Name and Position | Mahyar Parvin (DIRECTOR OF CORPORATION) |
| Authorized Official Contact | 8152547400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahyar Parvin Pc 24821 W 135th St Plainfield IL 60544-5413 Ph: (815) 254-7400 | Mahyar Parvin Pc 24821 W 135th St Plainfield IL 60544-5413 Ph: (815) 254-7400 |
| NPI Number | 1134395825 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134395825 | NPI | - | NPPES |
| 036111592 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036111592 (Illinois) | Primary |
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