Healthcare Provider Details

I. General information

NPI: 1982873766
Provider Name (Legal Business Name): MERIDIAN PSYCHIATRIC PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E ONTARIO ST SUITE 1195
CHICAGO IL
60611-3468
US

IV. Provider business mailing address

211 E ONTARIO ST SUITE 1195
CHICAGO IL
60611-3468
US

V. Phone/Fax

Practice location:
  • Phone: 312-640-7740
  • Fax:
Mailing address:
  • Phone: 312-640-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FLAVIO ADAN ARANA
Title or Position: DIRECTOR
Credential: M.D.
Phone: 312-640-7732