Provider Demographics
NPI:1437594314
Name:ARAKELIAN, MARA KATHLEEN (CNM)
Entity Type:Individual
Prefix:MS
First Name:MARA
Middle Name:KATHLEEN
Last Name:ARAKELIAN
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Mailing Address - Street 1:950 N YORK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2950
Mailing Address - Country:US
Mailing Address - Phone:630-920-1347
Mailing Address - Fax:630-325-5946
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-920-1347
Practice Address - Fax:630-325-5946
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209010212367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife