Basic Information
Provider Information
NPI: 1790167914
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARROYO PAREJO DRAYER
FirstName: PATRICIA
MiddleName: ALEJANDRA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 205 THIERRY LN
Address2:  
City: PROSPECT HEIGHTS
State: IL
PostalCode: 600701656
CountryCode: US
TelephoneNumber: 3057137508
FaxNumber:  
Practice Location
Address1: 1675 DEMPSTER ST FL 3
Address2:  
City: PARK RIDGE
State: IL
PostalCode: 600681110
CountryCode: US
TelephoneNumber: 8473189330
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2015
LastUpdateDate: 05/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0210X036.154970ILY Allopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology

No ID Information.


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