Provider Demographics
NPI:1619032109
Name:ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE SC
Entity Type:Organization
Organization Name:ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE SC
Other - Org Name:ARNOLD ARTHRITIS & RHEUMATOLOGY SC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-869-7233
Mailing Address - Street 1:4709 GOLF RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1233
Mailing Address - Country:US
Mailing Address - Phone:847-869-7233
Mailing Address - Fax:847-869-9461
Practice Address - Street 1:4709 GOLF RD STE 300
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1233
Practice Address - Country:US
Practice Address - Phone:847-869-7233
Practice Address - Fax:847-869-9461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036099046261QM1300X
IL036043731261QM1300X
IL036104339261QM1300X
IL036040690261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH79926Medicare UPIN
ILC41590Medicare UPIN
ILD13041Medicare UPIN
ILH64906Medicare UPIN