MEDICARE: DR. DERCY J ARANADOR 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	207R00000X	Internal Medicine Physician	036049190	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922045376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DERCY J ARANADOR MD

Provider Business Mailing Address
First Line	:	2913 N COMMONWEALTH AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	773-665-3124
Fax Number	:	773-665-3408

Provider Business Practice Location Address
First Line	:	2913 N COMMONWEALTH AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	773-665-3124
Fax Number	:	773-665-3408

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	11/16/2011

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