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NPI Code Detail

MEDICARE: DR. LIVIA HANTOS M.D.

MEDICARE: DR. LIVIA HANTOS M.D.
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
12084N0400XNeurology Physician36-089991IL

Other Identifiers

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

General Provider Information

NPI Number : 1235187063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIVIA HANTOS M.D.
Provider Business Mailing Address
First Line : 1604 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-541-4010
Fax Number : 847-541-0159
Provider Business Practice Location Address
First Line : 1604 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-541-4010
Fax Number : 847-541-0159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/14/2015

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Directions to “ DR. LIVIA HANTOS M.D.” Practice Location

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