Provider Demographics
NPI:1063512986
Name:FERIA, ARACELI ILAGAN (MD)
Entity type:Individual
Prefix:DR
First Name:ARACELI
Middle Name:ILAGAN
Last Name:FERIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10448 S PULASKI RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4895
Mailing Address - Country:US
Mailing Address - Phone:708-636-6531
Mailing Address - Fax:708-636-6549
Practice Address - Street 1:10448 S PULASKI RD
Practice Address - Street 2:SUITE 10
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-4895
Practice Address - Country:US
Practice Address - Phone:708-636-6531
Practice Address - Fax:708-636-6549
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036054271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL133901001OtherTRAVELERS
IL080084981OtherPALMETTO, GBA
ILC07F03OtherAETNA HEALTH PLANS
IL21606679OtherBLUE CROSS BLUE SHIELD
IL4064717OtherAETNA MANAGED CHOICE
IL036054271Medicaid
IL791082109OtherMEDICARE PALMETTO GBA
IL4064717OtherAETNA MANAGED CHOICE
IL21606679OtherBLUE CROSS BLUE SHIELD