Individual
RICHARD AARONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 203RD ST, STE 302, OLYMPIA FIELDS, IL 60461-1180
(708) 679-2600
(708) 747-3628
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4253
(317) 865-8319
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036048241
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048241
—
IL
01
—
L95600
MEDICARE PTAN
IL
Enumeration date
05/01/2006
Last updated
11/25/2015
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