Provider Demographics
NPI:1336359058
Name:AGUILAR ARAGON, JAVIER ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:ANTONIO
Last Name:AGUILAR ARAGON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5280 METROPOLITAN PKWY
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4005
Mailing Address - Country:US
Mailing Address - Phone:586-446-8688
Mailing Address - Fax:586-446-9994
Practice Address - Street 1:901 MCCLINTOCK DR
Practice Address - Street 2:SUITE 202
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-0871
Practice Address - Country:US
Practice Address - Phone:888-220-6432
Practice Address - Fax:630-734-4715
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-11-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301085508207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1336359058Medicaid
MIMI5695029Medicare PIN