MEDICARE: DR. ARNOLD B GRAUER MD

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	207R00000X	Internal Medicine Physician	036039248	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110087227	OTHER	IL	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1619960184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD B GRAUER MD

Provider Business Mailing Address
First Line	:	233 E ERIE ST
Second Line	:	SUITE 710
City	:	CHICAGO
State	:	IL
Zip	:	60611-2926
Country	:	US
Telephone Number	:	312-624-9671
Fax Number	:	312-624-8849

Provider Business Practice Location Address
First Line	:	233 E ERIE ST
Second Line	:	SUITE 710
City	:	CHICAGO
State	:	IL
Zip	:	60611-2926
Country	:	US
Telephone Number	:	312-624-9671
Fax Number	:	312-624-8849

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	06/03/2010

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