Augusto N Pareja, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036065907 Issued in IL

Practice address

3232 W 55TH St
Chicago, IL 60632-2638

Phone

(773) 434-8026

Fax

(773) 434-8107

NPI assigned

Dec 7, 2005

Reactivated

Aug 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1467437939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322638",
            "telephone_number": "773-434-8026",
            "fax_number": "773-434-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322638",
            "telephone_number": "773-434-8026",
            "fax_number": "773-434-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREJA",
        "first_name": "AUGUSTO",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2012-06-08",
        "deactivation_date": "2006-02-01",
        "reactivation_date": "2006-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036065907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065907 / 03",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Paredes Sosa, MD
• Asela Paredes, LCSW
• Daiana Paredes
• Efrain Ignacio Paredes, M.D.
• Ingris Paredes, LMT
• Xavier A Pareja, MD
• Keyur Parekh
• Kunal Parekh, PHARMD
• Paras K Parekh, D.P.M.
• Sejal Parekh, MAMFT

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.