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RENATO M ARIAS MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1376571026

Individual Registrant:
 RENATO M ARIAS MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1415 W LAKE ST  ADDISON, IL 60101-1870 US
Tel: 847-981-5767  Fax: 847-981-5765

Contact information for business:
3040 W SALT CREEK LN  ARLINGTON HEIGHTS, IL 60005-1069 US
Tel: --  Fax: --

Registration Information:
NPI: 1376571026
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036-045081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
D10996IL02




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