Provider Demographics
NPI:1548223233
Name:ZLIOBA, ARAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ARAS
Middle Name:
Last Name:ZLIOBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N HAMMES AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8145
Mailing Address - Country:US
Mailing Address - Phone:815-741-3220
Mailing Address - Fax:815-741-3814
Practice Address - Street 1:219 N HAMMES AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8145
Practice Address - Country:US
Practice Address - Phone:815-741-3220
Practice Address - Fax:815-741-3814
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-076690174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036076690Medicaid
IL9900200OtherBCBS
0511900001Medicare NSC
IL036076690Medicaid
IL921500Medicare PIN