Healthcare Provider Details

I. General information

NPI: 1598800773
Provider Name (Legal Business Name): ARETE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E STRONG ST SUITE4
WHEELING IL
60090-2979
US

IV. Provider business mailing address

201 E STRONG ST SUITE4
WHEELING IL
60090-2979
US

V. Phone/Fax

Practice location:
  • Phone: 847-353-8802
  • Fax: 847-353-8812
Mailing address:
  • Phone: 847-353-8802
  • Fax: 847-353-8812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MISHAIL SHAPIRO
Title or Position: PRESIDENT
Credential: D.O.
Phone: 847-353-8802