Provider Demographics
NPI:1851360721
Name:ARON, RAUL L (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:L
Last Name:ARON
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 1:37W386 MARYHILL LANE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123
Mailing Address - Country:US
Mailing Address - Phone:847-695-6600
Mailing Address - Fax:847-695-4279
Practice Address - Street 1:745 FLETCHER DRIVE
Practice Address - Street 2:#302
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-695-6600
Practice Address - Fax:847-695-4279
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
4515536OtherBLUE SHIELD
P05711OtherMEDICARE PIN
C41476Medicare UPIN
674750Medicare ID - Type Unspecified