MEDICARE: NINA ARORA, DDS, P.C.

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	122300000X	Dentist	019027736	IL

General Provider Information

NPI Number	:	1609163757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NINA ARORA, DDS, P.C.

Provider Business Mailing Address
First Line	:	321 S SANGAMON ST
Second Line	:	UNIT 604
City	:	CHICAGO
State	:	IL
Zip	:	60607-3586
Country	:	US
Telephone Number	:	309-255-3811
Fax Number	:

Provider Business Practice Location Address
First Line	:	5050 S KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-3009
Country	:	US
Telephone Number	:	773-778-2200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NINA ARORA
Credential	:	D.D.S.
Telephone Number	:	309-255-3811

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	07/08/2011

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