Ariel Chavez MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036054596 Issued in IL

Legal business name

ARIEL CHAVEZ MD SC

Practice address

4608 S Ashland Ave
Chicago, IL 60609-3251

Phone

(773) 927-7573

Fax

(773) 927-7382

NPI assigned

Jan 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ysabel Chavez

Title

Office Manager

Phone

(773) 927-7573

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariel Chavez, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1902978257
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1942531801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606597202",
            "telephone_number": "773-927-7573",
            "fax_number": "773-927-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093251",
            "telephone_number": "773-927-7573",
            "fax_number": "773-927-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL CHAVEZ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "YSABEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-927-7573",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036054596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21606887",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054596",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Arias, CCA
• Erika Arias
• Gioconda C Arias, FNP
• Marjorie V Arias, PHARMD
• Norbie Ann Arias
• Ariel David, M.D., S.C.
• Aviva Ariel-Donges, PHD, MPH
• Arielle Berman Albert, LLC
• Julia Ariens, PT, DPT
• Aayesha Arif, APN

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.