| Ariel Chavez Md Sc | |
|
4608 S Ashland Ave Chicago IL 60609-3251 | |
| (773) 927-7573 | |
| (773) 927-7382 |
| Full Name | Ariel Chavez Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4608 S Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ysabel Chavez (OFFICE MANAGER) |
| Authorized Official Contact | 7739277573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariel Chavez Md Sc Po Box 597202 Chicago IL 60659-7202 Ph: (773) 927-7573 | Ariel Chavez Md Sc 4608 S Ashland Ave Chicago IL 60609-3251 Ph: (773) 927-7573 |
| NPI Number | 1942531801 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 05/07/2010 |
| Medicare PECOS PAC ID | 7315073418 |
|---|---|
| Medicare Enrollment ID | O20100512001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942531801 | NPI | - | NPPES |
| 21606887 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036054596 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036054596 (Illinois) | Primary |
| Provider Name | Ariel R Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902978257 PECOS PAC ID: 8527194620 Enrollment ID: I20100329000200 |
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