Ariel Omar Chavez PA-C

NPI 1730411489 - Physician Assistant - 363A00000X

NPI Details
NPI 1730411489
Gender Male
Enumeration Date 02/05/2010
Last Updated 04/26/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
1901 W HARRISON ST
ROOM 449
CHICAGO IL, 60612-3714, US
Phone (312) 864-5204
Fax
Business Location
1901 W HARRISON ST
ROOM 449
CHICAGO IL, 60612-3714, US
Phone (312) 864-5242
Fax (312) 864-9782
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085003644
Remove 1730411489 NPI Number
 

According to our database, Mr. Ariel Omar Chavez PA-C NPI is 1730411489, taxonomy code is 363A00000X and license number is 085003644, license state is located at Illinois. Ariel Omar Chavez PA-C physically located at 1901 W Harrison St, Chicago IL, 60612-3714. NPI Number Ariel Omar Chavez PA-C has the Individual type.

Sponsored links

1730411489 NPI number is provided on an as is basis without warranty of any kind. 1730411489 is maintained by the National Plan & Provider Enumeration System. The contents of Ariel Omar Chavez PA-C are for informational purposes only.