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Individual

VIRGILIO ARENAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(773) 869-5810
Mailing address
546 FRANKLIN AVE, RIVER FOREST, IL 60305-1720
(708) 366-3946

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
36112939
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112939
IL
01
1617631
BLUE CROSS BLUE SHIELD
IL
01
202591
MEDICARE
IL
01
202591001
MEDICARE
IL
01
359600
MEDICARE
IL
Enumeration date
04/03/2007
Last updated
01/21/2009
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