Mr Ariel Chavez, MD | |
4608 S Ashland Ave, Chicago, IL 60609 | |
(773) 927-7573 | |
(773) 927-7382 |
Full Name | Mr Ariel Chavez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 55 Years |
Location | 4608 S Ashland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902978257 | NPI | - | NPPES |
363306485 | Other | TAX ID | |
036054596 | Medicaid | IL | |
21606887 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036054596 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Anthony Hospital | Chicago, IL | Hospital |
Entity Name | Ariel Chavez Md Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942531801 PECOS PAC ID: 7315073418 Enrollment ID: O20100512001079 |
Mailing Address | Practice Location Address |
---|---|
Mr Ariel Chavez, MD Po Box 597202, Chicago, IL 60659 Ph: (773) 927-7573 | Mr Ariel Chavez, MD 4608 S Ashland Ave, Chicago, IL 60609 Ph: (773) 927-7573 |
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