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NPI Code Detail

MEDICARE: MICHELE ARMENIA, M.D., S.C.

MEDICARE: MICHELE ARMENIA, M.D., S.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
1207VG0400XGynecology PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15321991OTHERILBLUE SHIELD BLUE CROSS

General Provider Information

NPI Number : 1194812693
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELE ARMENIA, M.D., S.C.
Provider Business Mailing Address
First Line : 121 S WILKE RD
Second Line : SUITE 606
City : ARLINGTON HTS
State : IL
Zip : 60005-1533
Country : US
Telephone Number : 847-392-6250
Fax Number : 847-253-5181
Provider Business Practice Location Address
First Line : 121 S WILKE RD
Second Line : SUITE 606
City : ARLINGTON HTS
State : IL
Zip : 60005-1533
Country : US
Telephone Number : 847-392-6250
Fax Number : 847-253-5181
Authorized Official
Title or Position : PRESIDENT
Name : MICHELE J ARMENIA
Credential : M.D.
Telephone Number : 847-392-9073
Provider Enumeration Date : 10/06/2006
Last Update Date : 08/22/2020

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