NPI 1093217036

Arnold Arellano, LCPEDCPOACFO

Practitioner Pedorthist Skokie, IL

Practice location

Address: 5202 Old Orchard Road N100, Skokie, IL 60077
Phone: (847) 475-7080
Fax: (847) 475-0241
Mailing address: 1s376 Summit Ave Court E, Oakbrook Terrace, IL 60181-3985

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3591 (IL)

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Registry record

NPI: 1093217036
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2018
Record last updated: 6 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.