Individual
RICHARD M. ARONWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1644
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036110400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110400
—
IL
01
—
1620385
BLUE SHIELD
IL
01
—
1632989
BLUE SHIELD PRIOR TO 7/1/08
IL
01
—
P00179516
RAILROAD MEDICARE
IL
Enumeration date
10/18/2006
Last updated
07/02/2008
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