Provider Demographics
NPI:1992535108
Name:EZHILARASAN, PARINITA
Entity type:Individual
Prefix:
First Name:PARINITA
Middle Name:
Last Name:EZHILARASAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 GEORGETOWN WAY
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-4125
Mailing Address - Country:US
Mailing Address - Phone:847-502-3777
Mailing Address - Fax:
Practice Address - Street 1:1283 GEORGETOWN WAY
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-4125
Practice Address - Country:US
Practice Address - Phone:847-502-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant