Individual
DR. AMY ARIALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2314 W SHAKESPEARE AVE UNIT 2, CHICAGO, IL 60647-3219
(312) 996-2901
Mailing address
2314 W SHAKESPEARE AVE UNIT 2, CHICAGO, IL 60647-3219
(312) 996-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125063709
IL
Other
Enumeration date
03/20/2013
Last updated
03/01/2014
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