Provider Demographics
NPI:1528001187
Name:KING, AARON M (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:KING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:#123
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-642-5515
Mailing Address - Fax:312-642-0753
Practice Address - Street 1:680 N LAKE SHORE DR
Practice Address - Street 2:#123
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4546
Practice Address - Country:US
Practice Address - Phone:312-642-5515
Practice Address - Fax:312-642-0753
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-118061208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics