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NPI Code Detail

MEDICARE: ARADA SARATANA RN

MEDICARE: ARADA SARATANA RN
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
1163W00000XRegistered Nurse041405512IL

General Provider Information

NPI Number : 1629439666
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARADA SARATANA RN
Provider Business Mailing Address
First Line : 3520 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3520 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1317
Country : US
Telephone Number : 773-523-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2016
Last Update Date : 03/18/2016

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