MEDICARE: CAROL ARTHUR M.S.

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	367A00000X	Advanced Practice Midwife	209000879	IL

General Provider Information

NPI Number	:	1457516494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL ARTHUR M.S.

Provider Business Mailing Address
First Line	:	5019 N MOZART ST
Second Line	:	ATTN: SOULTANA AMAXOPOULOS
City	:	CHICAGO
State	:	IL
Zip	:	60625-3615
Country	:	US
Telephone Number	:	773-293-3223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 N HALSTED ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5105
Country	:	US
Telephone Number	:	773-549-8900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	07/18/2008

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Directions to “ CAROL ARTHUR M.S.” Practice Location

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