Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 036119009 | IL |
NPI | 1285841544 |
---|---|
Provider Name | Arthur Aragones |
First Address | Streamwood, IL 60107-2950 |
Second Address | Streamwood, IL 60107-2950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 12/08/2019 |