Provider Demographics
NPI:1629213269
Name:VIPAL K ARORA MD SC
Entity Type:Organization
Organization Name:VIPAL K ARORA MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIPAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD SC
Authorized Official - Phone:630-968-1100
Mailing Address - Street 1:3825 S. HIGHLAND AVE
Mailing Address - Street 2:STE 5J
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-968-1100
Mailing Address - Fax:630-968-8178
Practice Address - Street 1:3825 S. HIGHLAND AVE
Practice Address - Street 2:STE 5J
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-968-1100
Practice Address - Fax:630-968-8178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL03605105174400000X
IL036051015207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL03605015Medicaid
IL03605015Medicaid
493220Medicare PIN