Provider Demographics
NPI:1144388307
Name:DINNER, ARNOLD L (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:L
Last Name:DINNER
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 1:350 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5352
Mailing Address - Country:US
Mailing Address - Phone:847-432-1334
Mailing Address - Fax:
Practice Address - Street 1:350 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-5352
Practice Address - Country:US
Practice Address - Phone:847-432-1334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
209543Medicare ID - Type Unspecified
C44315Medicare UPIN