Provider Demographics
NPI:1316038342
Name:ARLINGTON MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:ARLINGTON MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LINDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-255-0800
Mailing Address - Street 1:1430 N ARLINGTON HEIGHTS RD STE 105
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4823
Mailing Address - Country:US
Mailing Address - Phone:847-255-0800
Mailing Address - Fax:847-255-8054
Practice Address - Street 1:1430 N ARLINGTON HEIGHTS RD STE 105
Practice Address - Street 2:SUITE 105
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4823
Practice Address - Country:US
Practice Address - Phone:847-255-0800
Practice Address - Fax:847-255-8054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036076396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01615768OtherBLUE CROSS & BLUE SHIELD
ILCK2307OtherRAILROAD MEDICARE - GROUP
IL201250Medicare PIN