Individual ProviderParag AminRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Luh - Russo Entrance 0060, Maywood, IL 60153-3328(708) 216-8920PECOS EnrollmentBased on the most recent information from CMS, provider Parag Amin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1578817219Provider TypeIndividualFull NameAmin, ParagCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date11/2/2012Last Updated11/12/2014Contact InformationPractice LocationPractice Address2160 S 1st Ave, Luh - Russo Entrance 0060, Maywood, IL 60153-3328Phone(708) 216-8920FaxUnlisted FaxMailing LocationMailing Address2160 S 1st Ave, Luh - Russo Entrance 0060, Maywood, IL 60153-3328Phone(708) 216-8920FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036.127568Illinois