Provider Demographics
NPI:1194812693
Name:MICHELE ARMENIA, M.D., S.C.
Entity type:Organization
Organization Name:MICHELE ARMENIA, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARMENIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-392-9073
Mailing Address - Street 1:121 S WILKE RD
Mailing Address - Street 2:SUITE 606
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1533
Mailing Address - Country:US
Mailing Address - Phone:847-392-6250
Mailing Address - Fax:847-253-5181
Practice Address - Street 1:121 S WILKE RD
Practice Address - Street 2:SUITE 606
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1533
Practice Address - Country:US
Practice Address - Phone:847-392-6250
Practice Address - Fax:847-253-5181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5321991OtherBLUE SHIELD BLUE CROSS
ILE54299Medicare UPIN
IL210949Medicare ID - Type Unspecified