Provider Demographics
NPI:1407054497
Name:ARNDT, LAURA PALERMO (OD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:PALERMO
Last Name:ARNDT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:DIANE
Other - Last Name:PALERMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 S EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1428
Mailing Address - Country:US
Mailing Address - Phone:847-253-8500
Mailing Address - Fax:847-253-8538
Practice Address - Street 1:18 S EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1428
Practice Address - Country:US
Practice Address - Phone:847-253-8500
Practice Address - Fax:847-253-8538
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010005152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist