ABELARDO J. JARAVA MD SC NPI 1740595198

NPI Information

ABELARDO J. JARAVA MD SC is a primary care clinic center in Chicago, IL. ABELARDO J. JARAVA MD SC NPI is 1740595198. The provider is registered as an organization entity type.

The provider's business location address is:

3336 N ASHLAND AVE
CHICAGO, IL
ZIP 60657-109
Phone: (773) 472-2936
Fax: (773) 472-5306

The provider's authorized official is Abelardo J Jarava .
The authorized official title is Medical Director and has the following contact phone number (773) 472-2936.

The CLIA number assigned to this NPI record is 14D0892234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 8/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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