Provider Demographics
NPI:1902290828
Name:KATZ, ARI (MD)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 S WAUKEGAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-2655
Mailing Address - Country:US
Mailing Address - Phone:478-234-8100
Mailing Address - Fax:847-234-8199
Practice Address - Street 1:990 S WAUKEGAN RD STE 200
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-2655
Practice Address - Country:US
Practice Address - Phone:847-234-8100
Practice Address - Fax:847-234-8199
Is Sole Proprietor?:No
Enumeration Date:2015-03-28
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036146174207R00000X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist