Provider Demographics
NPI:1003810953
Name:POMER, ARCADIO HILARIO VALENZUELA (MD)
Entity type:Individual
Prefix:DR
First Name:ARCADIO HILARIO
Middle Name:VALENZUELA
Last Name:POMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 E GOLF RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1236
Mailing Address - Country:US
Mailing Address - Phone:847-635-2001
Mailing Address - Fax:847-635-2076
Practice Address - Street 1:1400 E GOLF RD
Practice Address - Street 2:SUITE 118
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1236
Practice Address - Country:US
Practice Address - Phone:847-635-2001
Practice Address - Fax:847-635-2076
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2022-01-20
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Provider Licenses
StateLicense IDTaxonomies
IL036-112813207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI26779Medicare UPIN