MEDICARE: DR. MARTHA RALUCA NEAGU ARISTIDE M.D.,PH.D.

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	207RX0202X	Medical Oncology Physician	036147580	IL
2	2084N0400X	Neurology Physician	036147580	IL

General Provider Information

NPI Number	:	1356668719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA RALUCA NEAGU ARISTIDE M.D.,PH.D.

Provider Business Mailing Address
First Line	:	1 N WAUKEGAN RD BLDG 30303A3E
Second Line	:
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-1802
Country	:	US
Telephone Number	:	224-723-9783
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 N WAUKEGAN RD BLDG 30303A3E
Second Line	:
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-1802
Country	:	US
Telephone Number	:	224-723-9783
Fax Number	:

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

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	11/14/2024

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