Provider Demographics
NPI:1205824836
Name:ARBER, ANATOLY LAZAREVICH (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:ANATOLY
Middle Name:LAZAREVICH
Last Name:ARBER
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N RIVERSIDE DR
Mailing Address - Street 2:STE 213
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5918
Mailing Address - Country:US
Mailing Address - Phone:847-625-9500
Mailing Address - Fax:847-625-9565
Practice Address - Street 1:501 N RIVERSIDE DR
Practice Address - Street 2:STE 213
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5918
Practice Address - Country:US
Practice Address - Phone:847-625-9500
Practice Address - Fax:847-625-9565
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36-088261207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04920044Other10 RDR BCBS
IL03688261Medicaid
IL03688261Medicaid
IL03688261Medicaid
IL04920044Other10 RDR BCBS