MEDICARE: DR. JONAS ARAUJO DE SOUZA 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	207RH0003X	Hematology & Oncology Physician	125054207	IL

General Provider Information

NPI Number	:	1801034830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONAS ARAUJO DE SOUZA M.D.

Provider Business Mailing Address
First Line	:	5200 S ELLIS AVE
Second Line	:	APT 118N
City	:	CHICAGO
State	:	IL
Zip	:	60615-4365
Country	:	US
Telephone Number	:	713-301-9530
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 S ELLIS AVE
Second Line	:	APT 118N
City	:	CHICAGO
State	:	IL
Zip	:	60615-4365
Country	:	US
Telephone Number	:	713-301-9530
Fax Number	:

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

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	01/29/2009

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