Organization
ARACELI I. FERIA, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARACELI ILAGAN FERIA M.D. (PRESIDENT)
(708) 636-6531
Entity
Organization
Contact information
Practice address
10448 S PULASKI RD, SUITE 10, OAK LAWN, IL 60453-4895
(708) 636-6531
(708) 636-6549
Mailing address
10448 S PULASKI RD, SUITE 10, OAK LAWN, IL 60453-4895
(708) 636-6531
(708) 636-6549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036054271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054271
—
IL
01
—
080084981
PALMETTO, GBA
IL
01
—
1063512986
NPI
—
01
—
21606679
BLUE CROSS BLUE SHIELD
IL
01
—
4064717
AETNA MANAGED CARE
IL
01
—
C07F03
AETNA HEALTH PLAN
IL
Enumeration date
11/13/2007
Last updated
09/08/2009
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