MEDICARE: DR. ALVARO O MERCADO 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	207V00000X	Obstetrics & Gynecology Physician	036066330	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	316-03334	OTHER	BLUE SHIELD /BLUE CROSS
3	6410257	OTHER	CIGNA

General Provider Information

NPI Number	:	1841211349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVARO O MERCADO MD

Provider Business Mailing Address
First Line	:	500 N LINCOLN AVE
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-3141
Country	:	US
Telephone Number	:	847-692-6218
Fax Number	:	847-692-5609

Provider Business Practice Location Address
First Line	:	7107 W BELMONT AVE STE 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4500
Country	:	US
Telephone Number	:	773-237-2229
Fax Number	:	773-237-9992

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	04/12/2023

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Directions to “ DR. ALVARO O MERCADO MD” Practice Location

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