MEDICARE: DR. ARIO BABOLIAN 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	207Q00000X	Family Medicine Physician	0101269627	VA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1659514289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIO BABOLIAN M.D.

Provider Business Mailing Address
First Line	:	836 W WELLINGTON AVE
Second Line	:	DEPARTMENT OF ANESTHESIOLOGY
City	:	CHICAGO
State	:	IL
Zip	:	60657-5147
Country	:	US
Telephone Number	:	773-296-7035
Fax Number	:	773-296-5088

Provider Business Practice Location Address
First Line	:	836 W WELLINGTON AVE
Second Line	:	DEPARTMENT OF ANESTHESIOLOGY
City	:	CHICAGO
State	:	IL
Zip	:	60657-5147
Country	:	US
Telephone Number	:	773-296-7035
Fax Number	:	773-296-5088

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

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	01/28/2026

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