Provider Demographics
NPI:1316528607
Name:SIEMERS, PARINAZ JILA (MD, MS)
Entity type:Individual
Prefix:DR
First Name:PARINAZ
Middle Name:JILA
Last Name:SIEMERS
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:DR
Other - First Name:PARINAZ
Other - Middle Name:JILA
Other - Last Name:DABESTANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MS
Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-327-3041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL125.079397208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program