# ARIEL CHAVEZ MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942531801
- **Authorized official:** MRS. YSABEL CHAVEZ (OFFICE MANAGER)
- **Authorized official phone:** (773) 927-7573

## Contact information

- **Practice address:** 4608 S ASHLAND AVE, CHICAGO, IL 60609-3251
- **Practice address phone:** (773) 927-7573
- **Practice address fax:** (773) 927-7382
- **Mailing address:** PO BOX 597202, CHICAGO, IL 60659-7202
- **Mailing address phone:** (773) 927-7573
- **Mailing address fax:** (773) 927-7382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036054596 | IL | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 05/07/2010