MEDICARE: DR. ATAULLAH ARAIN 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	207Q00000X	Family Medicine Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02201168	OTHER	IL	BCBS OF IL

General Provider Information

NPI Number	:	1891873048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ATAULLAH ARAIN MD

Provider Business Mailing Address
First Line	:	4121 FAIRVIEW AVE STE L1
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-2265
Country	:	US
Telephone Number	:	630-674-1160
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 FAIRVIEW AVE STE L1
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-2265
Country	:	US
Telephone Number	:	630-674-1160
Fax Number	:

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/09/2007

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