Provider Demographics
NPI:1629024294
Name:BYSKOSH, ARKADIUSH TOMASH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARKADIUSH
Middle Name:TOMASH
Last Name:BYSKOSH
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 1:200 BUTTERNUT RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4010
Mailing Address - Country:US
Mailing Address - Phone:847-304-0214
Mailing Address - Fax:847-304-0237
Practice Address - Street 1:302 RANDALL RD
Practice Address - Street 2:#302
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4209
Practice Address - Country:US
Practice Address - Phone:630-208-4700
Practice Address - Fax:630-208-4762
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-093206207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G53878Medicare UPIN
207036Medicare PIN