Provider Demographics
NPI:1548581341
Name:OVADIA, AARON E (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:E
Last Name:OVADIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:745 FLETCHER DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4747
Mailing Address - Country:US
Mailing Address - Phone:847-741-0398
Mailing Address - Fax:847-741-0549
Practice Address - Street 1:745 FLETCHER DR
Practice Address - Street 2:SUITE 301
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4747
Practice Address - Country:US
Practice Address - Phone:847-741-0398
Practice Address - Fax:847-741-0549
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-141266208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400319710Medicare PIN