Provider Demographics
NPI:1124234851
Name:MARIO J PARISI DDS LTD
Entity type:Organization
Organization Name:MARIO J PARISI DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PANZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-961-9692
Mailing Address - Street 1:6 S 235 STEEPLE RUN DRIVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-3769
Mailing Address - Country:US
Mailing Address - Phone:630-961-9692
Mailing Address - Fax:630-961-9740
Practice Address - Street 1:6 S 235 STEEPLE RUN DRIVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-3769
Practice Address - Country:US
Practice Address - Phone:630-961-9692
Practice Address - Fax:630-961-9740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty