Individual provider · NPI-1
Eduardo Arias, CCA
Anaplastologist · Chicago, IL
NPI number1225653330
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1225653330
- Entity type
- Individual (NPI-1)
- Name
- Eduardo Arias
- Credential
- CCA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 229N00000X | Anaplastologist | – | – | Yes |
| 224P00000X | Prosthetist | – | – |
Practice location
811 S Paulina St Ste 161Chicago, IL 60612-4353
Phone 312-996-7546
Mailing address
811 S Paulina St Ste 161Chicago, IL 60612-4353
Phone 312-996-7546
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