Provider Demographics
NPI:1184634974
Name:ITKIN, ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:ITKIN
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 1:7600 W COLLEGE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1035
Mailing Address - Country:US
Mailing Address - Phone:708-485-4663
Mailing Address - Fax:708-671-8387
Practice Address - Street 1:7600 W COLLEGE DR STE 5
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1035
Practice Address - Country:US
Practice Address - Phone:708-485-4663
Practice Address - Fax:708-671-8387
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360832542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036083254Medicaid
ILF41336Medicare UPIN