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Individual

ARI DAVID MINTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Mailing address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036075742
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618831
BCBS PROVIDER NUMBER
IL
05
036075742
IL
01
300021610
RR MEDICARE
IL
01
CI0302
GROUP RR MED
IL
Enumeration date
07/11/2006
Last updated
02/26/2026
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