Basic Information
Provider Information
NPI: 1851785091
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEIFTER
FirstName: ARI
MiddleName:  
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Credential:  
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Mailing Information
Address1: 29373 NETWORK PL
Address2:  
City: CHICAGO
State: IL
PostalCode: 606731293
CountryCode: US
TelephoneNumber: 8473905900
FaxNumber:  
Practice Location
Address1: 9550 W 167TH ST
Address2:  
City: ORLAND PARK
State: IL
PostalCode: 604675561
CountryCode: US
TelephoneNumber: 7088734500
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2015
LastUpdateDate: 05/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
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AuthorizedOfficialCredential:  
NPICertificationDate: 05/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X125066528ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003X036145267ILN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RH0000X036-145267ILY Allopathic & Osteopathic PhysiciansInternal MedicineHematology

No ID Information.


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