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NPI Code Detail

MEDICARE: ARIEL DAVID, M.D., S.C.

MEDICARE: ARIEL DAVID, M.D., S.C.
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
12084P0800XPsychiatry Physician036044578IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902924160
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIEL DAVID, M.D., S.C.
Provider Business Mailing Address
First Line : 2500 N LAKEVIEW AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1846
Country : US
Telephone Number : 773-935-5335
Fax Number : 773-929-3463
Provider Business Practice Location Address
First Line : 2502 N CLARK ST
Second Line : #8215
City : CHICAGO
State : IL
Zip : 60614-1850
Country : US
Telephone Number : 773-935-5335
Fax Number : 773-929-3463
Authorized Official
Title or Position : OWNER
Name : ARIEL DAVID
Credential :
Telephone Number : 773-935-5335
Provider Enumeration Date : 03/27/2007
Last Update Date : 05/23/2008

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