MEDICARE: SATISH CHARO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01635047	OTHER	IL	BCBS PROVIDER ID

General Provider Information

NPI Number	:	1336135508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATISH CHARO MD

Provider Business Mailing Address
First Line	:	777 OAKMONT LN
Second Line	:	SUITE 1600
City	:	WESTMONT
State	:	IL
Zip	:	60559-5511
Country	:	US
Telephone Number	:	630-789-2550
Fax Number	:	630-789-2571

Provider Business Practice Location Address
First Line	:	3233 N ARLINGTON HEIGHTS RD
Second Line	:	SUITE 209
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1557
Country	:	US
Telephone Number	:	630-789-2550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	07/08/2007

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Directions to “ SATISH CHARO MD” Practice Location

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