Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 036-099046 | IL |
NPI | 1093767733 |
---|---|
Provider Name | Dr. Erin Arnold |
First Address | Skokie, IL 60076-1231 |
Second Address | Skokie, IL 60076-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 14/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-099046 | (05) | IL |
H79926 | (02) | IL |