Organization
ELADIO A VARGAS MD S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELADIO A VARGAS MD (MD)
(847) 998-0120
Entity
Organization
Contact information
Practice address
1500 WAUKEGAN ROAD, #221, GLENVIEW, IL 60025-2165
(847) 998-0120
(847) 998-0131
Mailing address
1500 WAUKEGAN ROAD, #221, GLENVIEW, IL 60025-2165
(847) 998-0120
(847) 998-0131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036051813
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051813
—
IL
Enumeration date
04/04/2007
Last updated
06/17/2010
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