MEDICARE: DR. ARTURO CHAVARRIA II 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
1	207R00000X	Internal Medicine Physician	036056365	IL

General Provider Information

NPI Number	:	1639283955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTURO CHAVARRIA II M.D.

Provider Business Mailing Address
First Line	:	701 LEE ST
Second Line	:	SUITE 300
City	:	DES PLAINES
State	:	IL
Zip	:	60016-4539
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	12400 S HARLEM AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1440
Country	:	US
Telephone Number	:	708-424-5454
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	12/13/2012

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