Provider Demographics
NPI:1841211349
Name:MERCADO, ALVARO O (MD)
Entity type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:O
Last Name:MERCADO
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 1:500 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3141
Mailing Address - Country:US
Mailing Address - Phone:847-692-6218
Mailing Address - Fax:847-692-5609
Practice Address - Street 1:7107 W BELMONT AVE STE 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4500
Practice Address - Country:US
Practice Address - Phone:773-237-2229
Practice Address - Fax:773-237-9992
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066330207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036066330Medicaid
316-03334OtherBLUE SHIELD /BLUE CROSS
6410257OtherCIGNA
316-03334OtherBLUE SHIELD /BLUE CROSS
ILD15404Medicare UPIN