MEDICARE: RJ CENTRAL INC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1437476231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RJ CENTRAL INC

Provider Business Mailing Address
First Line	:	8770 W BRYN MAWR AVE
Second Line	:	SUITE 1300
City	:	CHICAGO
State	:	IL
Zip	:	60631-3515
Country	:	US
Telephone Number	:	773-444-0708
Fax Number	:

Provider Business Practice Location Address
First Line	:	8770 W BRYN MAWR AVE
Second Line	:	SUITE 1300
City	:	CHICAGO
State	:	IL
Zip	:	60631-3515
Country	:	US
Telephone Number	:	773-444-0708
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD AARONSON
Credential	:
Telephone Number	:	773-444-0708

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	10/07/2010

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