Provider Demographics
NPI:1326217779
Name:ARZE DOCTORS CENTER SC
Entity Type:Organization
Organization Name:ARZE DOCTORS CENTER SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-484-9903
Mailing Address - Street 1:5278 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0052
Mailing Address - Country:US
Mailing Address - Phone:708-484-9903
Mailing Address - Fax:
Practice Address - Street 1:6925 CERMAK RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2248
Practice Address - Country:US
Practice Address - Phone:708-484-9903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE18394Medicare UPIN
ILK06916Medicare PIN