Provider Demographics
NPI:1720187438
Name:ARORA, VIPAL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:VIPAL
Middle Name:KUMAR
Last Name:ARORA
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 1:3825 S. HIGHLAND AVE
Mailing Address - Street 2:SUTIE 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:SUTIE 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
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036051015174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3630079476051501Medicaid
IL493220Medicare ID - Type Unspecified
IL3630079476051501Medicaid