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Pooja Chetan Parikh

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1620 W Harrison St, Chicago, IL 60612-3801

PECOS Enrollment

This provider is enrolled in PECOS as POOJA PARIKH.

Based on the most recent information from CMS, provider Pooja Chetan Parikh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1194550616
Provider Type
Individual
Full Name
Parikh, Pooja Chetan
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/4/2024
Last Updated
10/22/2024

Contact Information

Practice Location

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-5000

Unlisted Fax

Mailing Location

18420 Bridgemore Ln, Louisville, KY 40245-4382

(502) 802-6868

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085010716 Illinois

Pooja Chetan Parikh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Davis, Barbara Ann

Johnson, Hannah Grace

Choi, Sophia

Zaparaniuk, Natalia Maria

Darby, Darchell

Chang, Yun Hwa

Nguyen, Dayna

Lukic, Nikola Aleksandar

Kozlowski, Molly Elizabeth

Micci, Sandra Jean